Individual
JAMISON R BARBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
GNP
Contact information
Practice address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
(612) 873-2720
(612) 904-4243
Mailing address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
(612) 873-6005
(612) 630-8242
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
320406-23
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019M6BA
BLUE CROSS BLUE SHIELD
MN
01
—
04-03990
MEDICA
MN
01
—
500025912
MEDICARE RAILROAD
MN
05
—
534122100
—
MN
Enumeration date
06/10/2006
Last updated
11/27/2007
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