Healthcare Provider Details

I. General information

NPI: 1225030521
Provider Name (Legal Business Name): JACQUELYN M BARNHART FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JACQUELYN M LINDSEY FNP-C

II. Dates (important events)

Enumeration Date: 06/01/2005
Last Update Date: 05/23/2024
Certification Date: 05/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15333 N PIMA RD STE 305
SCOTTSDALE AZ
85260-2717
US

IV. Provider business mailing address

15333 N PIMA RD STE 305
SCOTTSDALE AZ
85260-2717
US

V. Phone/Fax

Practice location:
  • Phone: 888-731-8994
  • Fax:
Mailing address:
  • Phone: 888-731-8994
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR28258
License Number StateND
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number43117
License Number StateWY
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number289324
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: