| Doctor Name: | PROF. JACQUELINE BARNETT |
| NPI Number: | 1295997492 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSHS, PA-C |
| License Number: | C0001643 |
| Business Practice Address: | 6201 Greenbelt Rd Ste M16 Berwyn Heights, MD - 207402333 |
| Business Phone Number: | 3014414400 |
| Business Fax Number: | 3014413008 |
| Mailing Address: | 6201 Greenbelt Rd Ste M16, BERWYN HEIGHTS |
| State: | MD |
| Postal Code: | 207402333 |
| Phone Number: | 3014414400 |
| Fax Number: | 3014413008 |
| NPI Enumeration Date: | 06/28/2008 |
| NPI Last Update Date: | 06/28/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | C0001643 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |