Individual
MR. JACOB TANNER BARB
Active
Individual
MR. JACOB TANNER BARB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
255632
TN
163WA2000X
Administrator Registered Nurse
Primary
255632
TN
163WC0200X
Critical Care Medicine Registered Nurse
255632
TN
163WN0002X
Neonatal Intensive Care Registered Nurse
255632
TN
163WN0003X
Low-Risk Neonatal Registered Nurse
255632
TN
163WP0200X
Pediatric Registered Nurse
255632
TN
163WP0218X
Pediatric Oncology Registered Nurse
255632
TN
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
255632
TN
376G00000X
Nursing Home Administrator
NHA-NHA-LIC-6721
MT
Other
Enumeration date
06/29/2024
Last updated
06/12/2025
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