Individual
KATIE LYNN BARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 W WALNUT ST, JACKSONVILLE, IL 62650-1136
(217) 245-9541
Mailing address
20 APPLEBEE FARMS DR, JACKSONVILLE, IL 62650-1392
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
132525
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
209023554
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/20/2021
Last updated
03/21/2022
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