Provider Demographics
NPI:1538430798
Name:BARRACLOUGH, SCHUYLER M (APNP)
Entity type:Individual
Prefix:MS
First Name:SCHUYLER
Middle Name:M
Last Name:BARRACLOUGH
Suffix:
Gender:F
Credentials:APNP
Other - Prefix:
Other - First Name:SCHUYLER
Other - Middle Name:M
Other - Last Name:JOHNSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APNP
Mailing Address - Street 1:6316 ASHLEY RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27612-6557
Mailing Address - Country:US
Mailing Address - Phone:352-371-3791
Mailing Address - Fax:
Practice Address - Street 1:6316 ASHLEY RIDGE DR
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27612-6557
Practice Address - Country:US
Practice Address - Phone:352-371-3791
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-19
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI8851-33363L00000X
NC5015876363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty