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Individual
JENNIFER L BARKER
Active
Individual
JENNIFER L BARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4918
MA
363A00000X
Physician Assistant
PA00694
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31761
MEDICARE NGS
RI
Enumeration date
12/10/2012
Last updated
02/20/2015
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