Individual
JAMES ERNEST BARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1155 MILL ST, RENO, NV 89502-1576
(775) 982-4452
(775) 982-5552
Mailing address
1155 MILL ST, MS M-14, RENO, NV 89502-1576
(775) 982-5262
(775) 982-4196
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1509
NV
363AM0700X
Medical Physician Assistant
PA1509
NV
363AS0400X
Surgical Physician Assistant
PA1509
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12579406
CAQH
NV
05
—
1598779027
—
NV
Enumeration date
07/28/2006
Last updated
12/15/2023
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