Healthcare Provider Details

I. General information

NPI: 1013931732
Provider Name (Legal Business Name): JAMMIE L BARKER RN MSN ARNP FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/26/2006
Last Update Date: 06/14/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2010 BILL OWENS PKWY
LONGVIEW TX
75604-6210
US

IV. Provider business mailing address

2010 BILL OWENS PKWY
LONGVIEW TX
75604-6210
US

V. Phone/Fax

Practice location:
  • Phone: 903-247-3400
  • Fax: 903-238-9183
Mailing address:
  • Phone: 903-247-3400
  • Fax: 903-238-9183

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number46651
License Number StateOK
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number559894
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: