Provider Demographics
NPI:1841330974
Name:BARTON, JILL NICOLETTE
Entity type:Individual
Prefix:MRS
First Name:JILL
Middle Name:NICOLETTE
Last Name:BARTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2450 HIGHWAY 423
Mailing Address - Street 2:
Mailing Address - City:MC KENZIE
Mailing Address - State:TN
Mailing Address - Zip Code:38201-8446
Mailing Address - Country:US
Mailing Address - Phone:731-352-1095
Mailing Address - Fax:
Practice Address - Street 1:1209 HIGHWAY 641 S STE A
Practice Address - Street 2:
Practice Address - City:PARIS
Practice Address - State:TN
Practice Address - Zip Code:38242-5137
Practice Address - Country:US
Practice Address - Phone:731-641-4158
Practice Address - Fax:731-641-4180
Is Sole Proprietor?:No
Enumeration Date:2007-02-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health