Provider Demographics
NPI:1689809923
Name:BARRINGER, JENNIFER A (LPN)
Entity Type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:A
Last Name:BARRINGER
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14940 W MAUI LN
Mailing Address - Street 2:
Mailing Address - City:SURPRISE
Mailing Address - State:AZ
Mailing Address - Zip Code:85379-6130
Mailing Address - Country:US
Mailing Address - Phone:602-980-4070
Mailing Address - Fax:623-523-8311
Practice Address - Street 1:14940 W MAUI LN
Practice Address - Street 2:
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85379-6130
Practice Address - Country:US
Practice Address - Phone:602-980-4070
Practice Address - Fax:623-523-8311
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-15
Last Update Date:2009-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLP020696164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse