Healthcare Provider Details

I. General information

NPI: 1124877816
Provider Name (Legal Business Name): JAMIE BARR FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/15/2024
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 SMITHVILLE CHURCH RD
WARNER ROBINS GA
31088-7800
US

IV. Provider business mailing address

140 SMITHVILLE CHURCH RD
WARNER ROBINS GA
31088-7800
US

V. Phone/Fax

Practice location:
  • Phone: 229-391-3500
  • Fax: 229-236-9976
Mailing address:
  • Phone: 229-391-3500
  • Fax: 229-236-9976

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN-NP208912
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: