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NPI Code Detail

MEDICARE: JORDAIN PAIGE FERGUSON BARNETT DNP

MEDICARE: JORDAIN PAIGE FERGUSON BARNETT DNP
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
1363LF0000XFamily Nurse Practitioner24750TN

General Provider Information

NPI Number : 1649754524
Entity Type Code : Individual
Provider Name (Legal Business Name) : JORDAIN PAIGE FERGUSON BARNETT DNP
Provider Business Mailing Address
First Line : 207 HIGHWAY 52 BYP W
Second Line :
City : LAFAYETTE
State : TN
Zip : 37083-1728
Country : US
Telephone Number : 615-688-2273
Fax Number :
Provider Business Practice Location Address
First Line : 207 HIGHWAY 52 BYP W
Second Line :
City : LAFAYETTE
State : TN
Zip : 37083-1728
Country : US
Telephone Number : 615-688-2273
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/18/2018
Last Update Date : 01/30/2025

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