Individual
JEAN L BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ENP
Contact information
Practice address
3419 PEACHSTONE PL, SPRING, TX 77389-5111
(713) 702-9732
(281) 355-0688
Mailing address
3419 PEACHSTONE PL, SPRING, TX 77389-5111
(713) 702-9732
(281) 355-0677
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
617244
TX
363LF0000X
Family Nurse Practitioner
617244
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1700034220
TRICARE SOUTH
TX
05
—
197972602
—
TX
05
—
197972603
—
TX
01
—
8Y8948
BCBSTX
TX
Enumeration date
09/09/2008
Last updated
05/06/2013
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