MEDICARE: JENNIFER BARIE

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	208000000X	Pediatrics Physician	8855	MN

General Provider Information

NPI Number	:	1154917912
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER BARIE

Provider Business Mailing Address
First Line	:	40933 GREYSTONE AVE
Second Line	:
City	:	NORTH BRANCH
State	:	MN
Zip	:	55056-6035
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	40933 GREYSTONE AVE
Second Line	:
City	:	NORTH BRANCH
State	:	MN
Zip	:	55056-6035
Country	:	US
Telephone Number	:	651-442-8343
Fax Number	:

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

Provider Enumeration Date	:	12/16/2020
Last Update Date	:	05/22/2024

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Directions to “ JENNIFER BARIE ” Practice Location

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