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Contact Information

JENNIFER M BARKSDALE, FNP-BC
3320 TULLY RD
MODESTO, CA95350-0800
 Phone: 209-572-6900
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

General Practice

163WG0000X
Indicates primary specialty

NPI Profile & details for JENNIFER M BARKSDALE · (Female)

NPI Number 1790210284
Status Active
Credentials FNP-BC (Family Nurse Practitioner)
Entity Individual
Enumeration date 04/22/2017
Last updated 09/14/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 779095
  • CA License # 95006424
  • TX License # AP133847
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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