Provider Demographics
NPI:1790904480
Name:JOUSTRA, BARBARA LYNN (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:LYNN
Last Name:JOUSTRA
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:MRS
Other - First Name:BARBARA
Other - Middle Name:LYNN
Other - Last Name:SANTOS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:1725 62ND TER S
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33712-5725
Mailing Address - Country:US
Mailing Address - Phone:727-864-1699
Mailing Address - Fax:
Practice Address - Street 1:2191 9TH AVE N
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33713-7146
Practice Address - Country:US
Practice Address - Phone:727-321-3566
Practice Address - Fax:727-321-6596
Is Sole Proprietor?:No
Enumeration Date:2007-04-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP1867912363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily