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NPI Code Detail

MEDICARE: JENNA BARBOUR

MEDICARE:   JENNA  BARBOUR
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
1390200000XStudent in an Organized Health Care Education/Training ProgramWV
2207Q00000XFamily Medicine Physician30531WV

General Provider Information

NPI Number : 1154810398
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNA BARBOUR
Provider Business Mailing Address
First Line : 90 JACKSON PIKE
Second Line :
City : GALLIPOLIS
State : OH
Zip : 45631-1560
Country : US
Telephone Number : 740-446-5387
Fax Number : 740-446-5982
Provider Business Practice Location Address
First Line : 2605 JACKSON AVE
Second Line :
City : POINT PLEASANT
State : WV
Zip : 25550-1615
Country : US
Telephone Number : 855-446-5937
Fax Number : 304-675-2103
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2018
Last Update Date : 07/28/2021

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Directions to “ JENNA BARBOUR ” Practice Location

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