Individual
JACOB DANIEL BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
82 S 1100 E STE 403, SALT LAKE CITY, UT 84102-1892
(801) 505-5299
Mailing address
566 E 3300 S UNIT 805, SALT LAKE CITY, UT 84106-4735
(765) 480-9117
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
12740285-4405
UT
Other
Enumeration date
07/11/2022
Last updated
07/11/2022
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