MEDICARE: MISS JESSICA LYNN BARRETT

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	163WP0808X	Psychiatric/Mental Health Registered Nurse	251473	AZ

General Provider Information

NPI Number	:	1811137805
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS JESSICA LYNN BARRETT

Provider Business Mailing Address
First Line	:	848 E SETTLERS TRL
Second Line	:
City	:	CASA GRANDE
State	:	AZ
Zip	:	85122-9847
Country	:	US
Telephone Number	:	480-298-4324
Fax Number	:

Provider Business Practice Location Address
First Line	:	848 E SETTLERS TRL
Second Line	:
City	:	CASA GRANDE
State	:	AZ
Zip	:	85122-9847
Country	:	US
Telephone Number	:	480-298-4324
Fax Number	:

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

Provider Enumeration Date	:	03/03/2009
Last Update Date	:	02/25/2026

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