Individual
JEFFREY TODD BARNETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3200 MACCORKLE AVE SE, CHARLESTON, WV 25304-1227
(304) 388-5432
Mailing address
3200 MACCORKLE AVE SE, CHARLESTON, WV 25304-1227
(304) 388-5432
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
96642
WV
390200000X
Student in an Organized Health Care Education/Training Program
R098277
AR
Other
Enumeration date
03/18/2017
Last updated
08/08/2025
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