Barnes, Jackie

Barnes, Jackie is an individual health care provider with primary practice located at 810 E Sunflower Rd Suite 100A, Cleveland MS 38732-2800. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Barnes, Jackie can be contacted via phone (662) 843-3606.

Contact Information

Primary practice address
810 E Sunflower Rd Suite 100A Cleveland MS 38732-2800
Phone: (662) 843-3606
Fax: (662) 846-1194
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R601845 Mississippi

Profile Details

NPI number 1972562114
LBN Legal business name Barnes, Jackie
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Nov 8th, 2010 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1972562114 NPPES
Mississippi MEDICAID 00118617
Mississippi Other P00232017

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