Individual
MR. JONATHAN DANIEL BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGPCNP-BC
Contact information
Practice address
1601 E BROADWAY, BROADWAY MEDICAL PLAZA 1 SUITE 240, COLUMBIA, MO 65201-8020
(573) 815-7119
Mailing address
1601 E BROADWAY, BROADWAY MEDICAL PLAZA 1 SUITE 240, COLUMBIA, MO 65201-8020
(573) 815-7119
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2015038021
MO
363LA2200X
Adult Health Nurse Practitioner
2015038021
MO
363LG0600X
Gerontology Nurse Practitioner
2015038021
MO
Other
Enumeration date
10/26/2015
Last updated
10/26/2015
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