Healthcare Provider Details

I. General information

NPI: 1528203569
Provider Name (Legal Business Name): BARBARA LYNN JONES RNC, NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/04/2008
Last Update Date: 12/04/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1450 10TH ST STE 404
SANTA MONICA CA
90401-2857
US

IV. Provider business mailing address

1450 10TH ST STE 404
SANTA MONICA CA
90401-2857
US

V. Phone/Fax

Practice location:
  • Phone: 310-451-8144
  • Fax: 310-451-3414
Mailing address:
  • Phone: 310-451-8144
  • Fax: 310-451-3414

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License NumberNPF4535
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: