Provider Demographics
NPI:1235805029
Name:BARBEE, JENNIFER JEANNIE (RN)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:JEANNIE
Last Name:BARBEE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2150 MONTEGO DR
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45503-6464
Mailing Address - Country:US
Mailing Address - Phone:937-390-9913
Mailing Address - Fax:
Practice Address - Street 1:2150 MONTEGO DR
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:OH
Practice Address - Zip Code:45503-6464
Practice Address - Country:US
Practice Address - Phone:937-390-9913
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-20
Last Update Date:2021-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.449611163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse