Provider Demographics
NPI:1205313418
Name:BARNES, ALEXANDRA JASMINE THOMPSON (FNP-C)
Entity type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:JASMINE THOMPSON
Last Name:BARNES
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:ALEXANDRA
Other - Middle Name:JASMINE
Other - Last Name:THOMPSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-C
Mailing Address - Street 1:585 W PUTNAM AVE
Mailing Address - Street 2:
Mailing Address - City:PORTERVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:93257
Mailing Address - Country:US
Mailing Address - Phone:559-781-1665
Mailing Address - Fax:
Practice Address - Street 1:585 W PUTNAM AVE
Practice Address - Street 2:
Practice Address - City:PORTERVILLE
Practice Address - State:CA
Practice Address - Zip Code:93257
Practice Address - Country:US
Practice Address - Phone:559-781-1665
Practice Address - Fax:559-781-6036
Is Sole Proprietor?:No
Enumeration Date:2018-07-20
Last Update Date:2023-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95107485163W00000X
CA95009272363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner