Individual
JACOB DAVID BARNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
114 S MAIN ST, FIRTH, ID 83236-1168
(208) 346-6614
(208) 346-6638
Mailing address
114 S MAIN ST, FIRTH, ID 83236-1168
(208) 346-6614
(208) 346-6638
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
57870
ID
Other
Enumeration date
02/09/2018
Last updated
08/16/2021
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