Healthcare Provider Details

I. General information

NPI: 1982810099
Provider Name (Legal Business Name): JESSICA LEE BARNHILL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/15/2007
Last Update Date: 12/12/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1830 MARTIN LUTHER KING JR BLVD
CHAPEL HILL NC
27514-7415
US

IV. Provider business mailing address

1830 MARTIN LUTHER KING JR BLVD
CHAPEL HILL NC
27514-7415
US

V. Phone/Fax

Practice location:
  • Phone: 919-942-8741
  • Fax:
Mailing address:
  • Phone: 919-942-8741
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number2009-00645
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: