Provider Demographics
NPI:1679812671
Name:BARTLETT, JONETTE MARIE (MD)
Entity Type:Individual
Prefix:
First Name:JONETTE
Middle Name:MARIE
Last Name:BARTLETT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:US NAVY
Mailing Address - Street 2:H-166, US CAPITOL
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20515-0001
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:US NAVY
Practice Address - Street 2:H-166, US CAPITOL
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20515-0001
Practice Address - Country:US
Practice Address - Phone:202-225-5421
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-11
Last Update Date:2016-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA134182207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine