Provider Demographics
NPI:1700127529
Name:BARNETT, JANICE TAMARA (RN)
Entity Type:Individual
Prefix:MS
First Name:JANICE
Middle Name:TAMARA
Last Name:BARNETT
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 1:1409 BURKE AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10469-3006
Mailing Address - Country:US
Mailing Address - Phone:718-406-5418
Mailing Address - Fax:
Practice Address - Street 1:1409 BURKE AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10469-3006
Practice Address - Country:US
Practice Address - Phone:718-406-5418
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-04
Last Update Date:2013-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY662605-1163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health