Provider Demographics
NPI:1669450912
Name:BARNARD-DUPREE, DAFFERLIN JUANITA (MD)
Entity Type:Individual
Prefix:DR
First Name:DAFFERLIN
Middle Name:JUANITA
Last Name:BARNARD-DUPREE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:PO BOX 1744
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23113-1744
Mailing Address - Country:US
Mailing Address - Phone:804-739-7216
Mailing Address - Fax:804-739-3103
Practice Address - Street 1:26317 WEST WASHINGTON STREET
Practice Address - Street 2:CENTRAL STATE HOSPITAL
Practice Address - City:PETERSBURG
Practice Address - State:VA
Practice Address - Zip Code:23803
Practice Address - Country:US
Practice Address - Phone:804-524-4674
Practice Address - Fax:804-524-7860
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA01010569202084F0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084F0202XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyForensic Psychiatry