Basic Information
| Provider Information | |||||||||
| NPI: | 1417345521 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BARNWELL | ||||||||
| FirstName: | JESSICA | ||||||||
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| Credential: | FNP-BC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 854 W JAMES M CAMPBELL BLVD STE 303 | ||||||||
| Address2: | |||||||||
| City: | COLUMBIA | ||||||||
| State: | TN | ||||||||
| PostalCode: | 384014672 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9313804114 | ||||||||
| FaxNumber: | 9313804106 | ||||||||
| Practice Location | |||||||||
| Address1: | 1218 TROTWOOD AVE | ||||||||
| Address2: | |||||||||
| City: | COLUMBIA | ||||||||
| State: | TN | ||||||||
| PostalCode: | 384016406 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9313804114 | ||||||||
| FaxNumber: | 9313804106 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/26/2014 | ||||||||
| LastUpdateDate: | 08/26/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | APN0000019428 | TN | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.