Deandria Barnes
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Jackson, MS
NPI 1245995455 · NPPES record last updated Nov 2, 2021
Key facts
- NPI
- 1245995455
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 3743 S Siwell Rd
Jackson, MS 39212-4396 - Phone
- (601) 609-2079
- NPI assigned
- Nov 2, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
3743 S Siwell Rd
Jackson, MS 39212-4396
Mailing address
3743 S Siwell Rd
Jackson, MS 39212-4396
Phone (601) 609-2079
Other providers in Jackson, MS
- Dareji Barnard
- John Michael Barnard
- Allison Barnes
- Camille Barnes
- Daniel Barnes
- Demorise Barnes
- Linda F Barnes
- Melanie Barnes
- Michael Shane Barnes
- Patrick D. Barnes
All providers in Jackson, MS · Student in an Organized Health Care Education/Training Program in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 2, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.