Provider Demographics
NPI:1588213557
Name:BARRETT, JANET (RN, IBCLC)
Entity Type:Individual
Prefix:MRS
First Name:JANET
Middle Name:
Last Name:BARRETT
Suffix:
Gender:F
Credentials:RN, IBCLC
Other - Prefix:
Other - First Name:JANET
Other - Middle Name:
Other - Last Name:STEPHENSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1700 MOUNT VERNON AVE RM 4202
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93306-4018
Mailing Address - Country:US
Mailing Address - Phone:661-326-2760
Mailing Address - Fax:
Practice Address - Street 1:1700 MOUNT VERNON AVE RM 4202
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93306-4018
Practice Address - Country:US
Practice Address - Phone:661-326-2760
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-11
Last Update Date:2019-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA669113163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant