Individual
JACOB M BARTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1600 E EVERGREEN ST, MP II STE C, CAMERON, MO 64429-2400
(816) 632-2139
(816) 632-2315
Mailing address
1600 E EVERGREEN ST, CAMERON, MO 64429-2400
(816) 632-2101
(816) 649-3383
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2011003589
MO
363L00000X
Nurse Practitioner
Primary
2016044505
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1295283067
—
MO
Enumeration date
09/21/2016
Last updated
03/13/2017
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