Individual
MR. JASON GLEN BARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
3601 COACH HOUSE CT, SUFFOLK, VA 23435-3207
(757) 215-6870
Mailing address
3601 COACH HOUSE CT, SUFFOLK, VA 23435-3207
(757) 215-6870
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0024184425
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0024184425
VIRGINIA BOARD OF NURSING
VA
Enumeration date
06/04/2022
Last updated
06/04/2022
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