Individual
JAMIE M BARTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1640 CRAWFORDSVILLE SQUARE DR, CRAWFORDSVILLE, IN 47933-3800
(765) 362-5789
(765) 362-2453
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71000251
IN
363L00000X
Nurse Practitioner
71000251A
IN
363LA2200X
Adult Health Nurse Practitioner
Primary
71000251A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200321390
—
IN
01
—
471400008
MEDICARE IN PTAN
IN
Enumeration date
07/07/2006
Last updated
06/05/2024
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