Individual
JACLYN ANNE MARIE BARNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Contact information
Practice address
502 E 2ND ST, DULUTH, MN 55805-1913
(218) 786-8364
Mailing address
400 EAST THIRD STREET, DULUTH, MN 55805-1951
(218) 786-8364
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
157580-30
WI
363LF0000X
Family Nurse Practitioner
R 164377-0
MN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
157580-30
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007200270
—
WI
Enumeration date
06/22/2007
Last updated
08/10/2021
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