Healthcare Provider Details

I. General information

NPI: 1306331699
Provider Name (Legal Business Name): JASWINDER BARN FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/28/2018
Last Update Date: 04/26/2024
Certification Date: 04/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3150 G ST STE E
MERCED CA
95340
US

IV. Provider business mailing address

3144 G ST STE 125
MERCED CA
95340-1385
US

V. Phone/Fax

Practice location:
  • Phone: 209-819-4878
  • Fax:
Mailing address:
  • Phone: 209-819-4878
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95009304
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: