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Individual

JESSICA CHRISTINE BARNES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
859 S YELLOWSTONE HWY STE 3302, REXBURG, ID 83440-6200
(208) 656-2160
Mailing address
147 W CHUBBUCK RD, CHUBBUCK, ID 83202-2314
(208) 238-7546

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
01/28/2021
Last updated
11/30/2022
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