Jackie Barnes in Cleveland - Family

Jackie Barnes - NPI 1972562114

Jackie Barnes is a Family in Cleveland, Mississippi. Jackie Barnes practices all healthcare services and medical treatments related to Family. The NPI Number for Jackie Barnes is 1972562114. The last update date is 2010-11-08.

Jackie Barnes's current location address is 810 E Sunflower Rd, Cleveland, Mississippi. You can contact this provider via phone number 6628433606 and fax number 6628461194. The mailing address for Jackie Barnes is 810 E Sunflower Rd, Cleveland, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Name Jackie Barnes
Address 810 E Sunflower Rd, Cleveland, Mississippi
Phone Number 6628433606
Fax Number 6628461194
Sole Proprietor N
Credentials NP

NPI Number Detail

NPI Number 1972562114
Provider Enumeration Date 2006-03-17
Last Updated Date 2010-11-08

Provider Mailing Address Detail

Address 810 E Sunflower Rd
City Cleveland
State Mississippi (MS)
Post Code 387322800
Phone Number 6628433606
Fax Number 6628461194

Provider's Primary Taxonomy Detail

Speciality Family
Taxonomy 363Lf0000X
Licence No R601845
Definition:
An advanced practice registered nurse expert in primary healthcare for patients of all ages.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
118617 MS --
P00232017 MS MEDICARE RAILROAD

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FAQs about Jackie Barnes

What is the unique 10-digit identification code assigned to Jackie Barnes by the Centers for Medicare & Medicaid Services?

The Jackie Barnes has been issued the NPI (National Provider Identifier) 1972562114, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Jackie Barnes?

The Jackie Barnes is physically situated at 810 E Sunflower Rd, in the city of Cleveland, state of MS, with the postal code 387322800.

What is Jackie Barnes's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Jackie Barnes is Family, and the taxonomy code that classifies this field of practice is 363Lf0000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1972562114 to Jackie Barnes?

The Centers for Medicare & Medicaid Services originally issued the 1972562114 to Jackie Barnes on 2006-03-17.

When was the Jackie Barnes's information last updated?

The Jackie Barnes's information was last updated on 2010-11-08.

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