Basic Information
Provider Information
NPI: 1235413188
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BARNWELL
FirstName: JENNIFER
MiddleName: CARY
NamePrefix:  
NameSuffix:  
Credential: CRNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 106 IRVING ST NW
Address2: SUITE 309
City: WASHINGTON
State: DC
PostalCode: 200102927
CountryCode: US
TelephoneNumber: 2022913122
FaxNumber: 2022910655
Practice Location
Address1: 601 NEW JERSEY AVE NW STE 200
Address2:  
City: WASHINGTON
State: DC
PostalCode: 200013030
CountryCode: US
TelephoneNumber: 2022047092
FaxNumber:  
Other Information
ProviderEnumerationDate: 10/10/2011
LastUpdateDate: 01/25/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 01/25/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LA2200XR205634MDN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
363LA2200XRN1037618DCY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
363LA2200XARNP9248485FLN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health

No ID Information.


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