Provider Demographics
NPI:1891049797
Name:BARNHART, JENNIFER H (RN)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:H
Last Name:BARNHART
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:73 GRISWOLD ST
Mailing Address - Street 2:
Mailing Address - City:WALTON
Mailing Address - State:NY
Mailing Address - Zip Code:13856-1339
Mailing Address - Country:US
Mailing Address - Phone:607-865-8557
Mailing Address - Fax:607-865-2506
Practice Address - Street 1:270 BOCES DR
Practice Address - Street 2:
Practice Address - City:SIDNEY CENTER
Practice Address - State:NY
Practice Address - Zip Code:13839-3105
Practice Address - Country:US
Practice Address - Phone:607-865-2500
Practice Address - Fax:607-865-2506
Is Sole Proprietor?:No
Enumeration Date:2012-10-31
Last Update Date:2012-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY22 659903163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool