# JODY A BARHAM

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1992081491
- **Gender:** Man
- **Credential:** APN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | A03610 | AR | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | AP135878 | TX | — |

## Other

- **Enumeration date:** 10/27/2011
- **Last updated:** 12/10/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | A003610 | LICENSE | AR |
