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NPI Code Detail

MEDICARE: MS. JUSTINE LUCAS BARNARD RN, PNP

MEDICARE: MS. JUSTINE LUCAS BARNARD RN, PNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0200XPediatric Nurse Practitioner235904 NPF6634CA

General Provider Information

NPI Number : 1073536637
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JUSTINE LUCAS BARNARD RN, PNP
Provider Business Mailing Address
First Line : 1647 VALENCIA ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94110-5012
Country : US
Telephone Number : 415-647-3666
Fax Number : 415-282-3756
Provider Business Practice Location Address
First Line : 1647 VALENCIA ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94110-5012
Country : US
Telephone Number : 415-647-3666
Fax Number : 415-282-3756
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2006
Last Update Date : 07/08/2007

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