Provider Demographics
NPI:1619037827
Name:JENA, BARBARA ANN (FNP)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:ANN
Last Name:JENA
Suffix:
Gender:F
Credentials:FNP
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Mailing Address - Street 1:2260 N ROSEMONT BLVD
Mailing Address - Street 2:STE 107
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85712-2137
Mailing Address - Country:US
Mailing Address - Phone:520-318-1292
Mailing Address - Fax:520-318-1338
Practice Address - Street 1:2260 N ROSEMONT
Practice Address - Street 2:SUITE 107
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712
Practice Address - Country:US
Practice Address - Phone:520-318-1292
Practice Address - Fax:520-318-1338
Is Sole Proprietor?:No
Enumeration Date:2006-12-11
Last Update Date:2009-07-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZRN084171363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ184680Medicaid
AZ184680Medicaid
AZS55459Medicare UPIN