Provider Demographics
NPI:1255386728
Name:JANSMA, BARBARA T (CRNP)
Entity type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:T
Last Name:JANSMA
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:MS
Other - First Name:BARBARA
Other - Middle Name:T
Other - Last Name:HEINRICH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP
Mailing Address - Street 1:501 GREEN ST
Mailing Address - Street 2:
Mailing Address - City:HADDON HEIGHTS
Mailing Address - State:NJ
Mailing Address - Zip Code:08035-1903
Mailing Address - Country:US
Mailing Address - Phone:609-320-5442
Mailing Address - Fax:
Practice Address - Street 1:CHILDREN'S HOSPITAL OF PHILADELPHIA, 5TH FLR WOOD BLDG
Practice Address - Street 2:34TH ST & CIVIC CENTER BLVD
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104
Practice Address - Country:US
Practice Address - Phone:215-590-4684
Practice Address - Fax:215-590-3500
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN219683L163WP0200X
PAVP002179N363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163WP0200XNursing Service ProvidersRegistered NursePediatrics
Not Answered363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics