Provider Demographics
NPI:1992030217
Name:BARHOOVER, JENNIFER L (RN, CNP)
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:L
Last Name:BARHOOVER
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Gender:F
Credentials:RN, CNP
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Mailing Address - Street 1:2530 CHICAGO AVE
Mailing Address - Street 2:MAIL STOP 32-T6300
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55404-4570
Mailing Address - Country:US
Mailing Address - Phone:612-813-7664
Mailing Address - Fax:612-813-6889
Practice Address - Street 1:2530 CHICAGO AVE
Practice Address - Street 2:MAIL STOP 32-T6300
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55404-4570
Practice Address - Country:US
Practice Address - Phone:612-813-7664
Practice Address - Fax:612-813-6889
Is Sole Proprietor?:No
Enumeration Date:2009-10-04
Last Update Date:2009-10-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MNR 171740-2363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics