Provider Demographics
NPI:1609270644
Name:BARNETT, JERALYN MARIE (RN, MSN, CPNP, CNOR)
Entity Type:Individual
Prefix:
First Name:JERALYN
Middle Name:MARIE
Last Name:BARNETT
Suffix:
Gender:F
Credentials:RN, MSN, CPNP, CNOR
Other - Prefix:
Other - First Name:JERALYN
Other - Middle Name:MARIE
Other - Last Name:HEIM
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1 PERKINS SQ
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44308-1063
Mailing Address - Country:US
Mailing Address - Phone:330-543-3500
Mailing Address - Fax:330-543-5001
Practice Address - Street 1:1 PERKINS SQ
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44308-1063
Practice Address - Country:US
Practice Address - Phone:330-543-3332
Practice Address - Fax:330-543-5001
Is Sole Proprietor?:No
Enumeration Date:2014-10-20
Last Update Date:2021-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA.16539-NP363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner