Jennifer Barnett, RN

Individual provider Active NPI Registered Nurse · Little Canada, MN

NPI 1376947671 · NPPES record last updated Jan 19, 2015

Key facts

NPI
1376947671
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
R207956-3 (MN)
Practice address
2980 Rice St
Little Canada, MN 55113-2230
Phone
(651) 488-4655
Fax
(651) 488-4656
NPI assigned
Oct 15, 2014
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
R207956-3MNMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R207956-3 MN Yes

Addresses

Primary practice location

2980 Rice St
Little Canada, MN 55113-2230

Mailing address

2980 Rice St
Little Canada, MN 55113-2230

Other providers in Little Canada, MN

All providers in Little Canada, MN · Registered Nurse in Minnesota

Sources for this page

Verify at the official NPI Registry.