Barksdale, Jennifer Marie

Barksdale, Jennifer Marie is an individual health care provider with primary practice located at 3320 Tully Rd , Modesto CA 95350-0800. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Barksdale, Jennifer Marie can be contacted via phone (209) 572-6900.

Contact Information

Primary practice address
3320 Tully Rd Modesto CA 95350-0800
Phone: (209) 572-6900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X 779095 California
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP133847 Texas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 95006424 California

Profile Details

NPI number 1790210284
LBN Legal business name Barksdale, Jennifer Marie
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 22nd, 2017
Last updated Sep 14th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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