Individual
JACY F BARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1919 N AMIDON AVE, STE 130, WICHITA, KS 67203-2117
(316) 660-7675
(316) 832-1571
Mailing address
1919 N AMIDON AVE, STE 130, WICHITA, KS 67203-2118
(316) 660-7600
(316) 660-7510
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
76157
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201083910C
—
KS
Enumeration date
09/11/2013
Last updated
03/24/2021
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