Individual
MRS. JENNIFER MICHELLE BARHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
300 E 56TH ST APT 3C, NEW YORK, NY 10022-4135
(516) 210-5600
(917) 254-4419
Mailing address
305 APPLEBERRY CIR, KINGSPORT, TN 37663-3389
(423) 502-2134
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
7770247
TN
363LF0000X
Family Nurse Practitioner
15635
TN
Other
Enumeration date
03/02/2011
Last updated
11/07/2024
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