MEDICARE: MS. JESSICA HOPE BARKER PA-C

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
1	363A00000X	Physician Assistant	PA15071	CA

General Provider Information

NPI Number	:	1174983233
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JESSICA HOPE BARKER PA-C

Provider Business Mailing Address
First Line	:	300 SALIDA DEL SOL
Second Line	:
City	:	SANTA BARBARA
State	:	CA
Zip	:	93109-2022
Country	:	US
Telephone Number	:	805-403-6202
Fax Number	:	805-898-0600

Provider Business Practice Location Address
First Line	:	1722 STATE ST
Second Line	:	SUITE 102
City	:	SANTA BARBARA
State	:	CA
Zip	:	93101-2458
Country	:	US
Telephone Number	:	805-898-0700
Fax Number	:	805-898-0600

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/02/2016
Last Update Date	:	03/02/2016

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