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NPI Code Detail

MEDICARE: JENNIFER DELORIS BARKER

MEDICARE: JENNIFER DELORIS 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
1171M00000XCase Manager/Care CoordinatorTX

General Provider Information

NPI Number : 1689353351
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER DELORIS BARKER
Provider Business Mailing Address
First Line : 8300 DOUGLAS AVE STE 800
Second Line :
City : DALLAS
State : TX
Zip : 75225-5826
Country : US
Telephone Number : 214-380-3485
Fax Number :
Provider Business Practice Location Address
First Line : 8300 DOUGLAS AVE STE 800
Second Line :
City : DALLAS
State : TX
Zip : 75225-5826
Country : US
Telephone Number : 214-380-3485
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2023
Last Update Date : 07/11/2023

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Directions to “ JENNIFER DELORIS BARKER ” Practice Location

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