Doctor Name: | MISS JENNIFER ANN BARBER |
NPI Number: | 1093116170 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN, ATC |
License Number: | R0083946 |
Business Practice Address: | 2900 S Telephone Rd Moore, OK - 731602968 |
Business Phone Number: | 4054880750 |
Business Fax Number: | 4052377512 |
Mailing Address: | 2900 S Telephone Rd, MOORE |
State: | OK |
Postal Code: | 731602968 |
Phone Number: | 4054880750 |
Fax Number: | 4052377512 |
NPI Enumeration Date: | 09/09/2014 |
NPI Last Update Date: | 09/09/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | R0083946 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |