Provider Demographics
NPI:1497376941
Name:BARNES, JINEAN TANETTE (FNP)
Entity Type:Individual
Prefix:
First Name:JINEAN
Middle Name:TANETTE
Last Name:BARNES
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 RISON ST STE 130
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24541-2426
Mailing Address - Country:US
Mailing Address - Phone:434-791-1152
Mailing Address - Fax:
Practice Address - Street 1:501 RISON ST STE 130
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:VA
Practice Address - Zip Code:24541-2426
Practice Address - Country:US
Practice Address - Phone:434-791-1152
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-06
Last Update Date:2020-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024178613363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner