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NPI Code Detail

MEDICARE: MRS. JENNIFER MIA BARNETT NP

MEDICARE:  MRS. JENNIFER MIA BARNETT  NP
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
1363L00000XNurse Practitioner95029230CA

General Provider Information

NPI Number : 1215787692
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JENNIFER MIA BARNETT NP
Provider Business Mailing Address
First Line : PO BOX 7410882
Second Line :
City : CHICAGO
State : IL
Zip : 60674-0884
Country : US
Telephone Number : 702-899-0595
Fax Number : 702-977-1496
Provider Business Practice Location Address
First Line : 2215 OAKMONT WAY
Second Line :
City : WEST SACRAMENTO
State : CA
Zip : 95691-3022
Country : US
Telephone Number : 872-231-3162
Fax Number : 702-977-1496
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2024
Last Update Date : 10/17/2025

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