Provider Demographics
NPI:1154656064
Name:WHITE-JONES, BARBARA DEAN (FNP)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:DEAN
Last Name:WHITE-JONES
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MS
Other - First Name:BARBARA
Other - Middle Name:DEAN
Other - Last Name:WHITE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:700 ADELINE ST
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94607
Mailing Address - Country:US
Mailing Address - Phone:510-835-9610
Mailing Address - Fax:510-225-2314
Practice Address - Street 1:700 ADELINE ST
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94607
Practice Address - Country:US
Practice Address - Phone:510-835-9610
Practice Address - Fax:510-225-2314
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-09
Last Update Date:2021-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA283996363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care