Barney, Jaclyn Anne Marie

Barney, Jaclyn Anne Marie is an individual health care provider with primary practice located at 502 E 2Nd St , Duluth MN 55805-1913. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Barney, Jaclyn Anne Marie can be contacted via phone (218) 786-8364.

Contact Information

Primary practice address
502 E 2Nd St Duluth MN 55805-1913
Phone: (218) 786-8364
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R 164377-0 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 157580-30 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 157580-30 Wisconsin

Profile Details

NPI number 1104022573
LBN Legal business name Barney, Jaclyn Anne Marie
Credentials APRN, CNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2007
Last updated Aug 10th, 2021 - about 3 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 1104022573 NPPES
Wisconsin MEDICAID 007200270

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