Provider Demographics
NPI:1962812743
Name:FALLIS, BARBARA (APRN, FNP-C)
Entity type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:
Last Name:FALLIS
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9850 VON ALLMEN CT STE 201
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40241-2855
Mailing Address - Country:US
Mailing Address - Phone:502-699-0351
Mailing Address - Fax:502-323-8680
Practice Address - Street 1:9850 VON ALLMEN CT STE 201
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40241-2855
Practice Address - Country:US
Practice Address - Phone:502-699-0351
Practice Address - Fax:502-323-8680
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-02
Last Update Date:2025-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYF0214366363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily