MEDICARE: JARED BARKER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367500000X	Certified Registered Nurse Anesthetist	126068	AR

General Provider Information

NPI Number	:	1083547459
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JARED BARKER

Provider Business Mailing Address
First Line	:	1320 SHARON RD
Second Line	:
City	:	BENTON
State	:	AR
Zip	:	72019-6118
Country	:	US
Telephone Number	:	501-249-6052
Fax Number	:	501-249-6052

Provider Business Practice Location Address
First Line	:	1320 SHARON RD
Second Line	:
City	:	BENTON
State	:	AR
Zip	:	72019-6118
Country	:	US
Telephone Number	:	501-249-6052
Fax Number	:	501-249-6052

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/05/2026
Last Update Date	:	06/11/2026

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Directions to “ JARED BARKER ” Practice Location

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