Melody Dawn Jacobs Barr, LPN
Individual provider Active NPI Licensed Practical Nurse · Senecaville, OH
NPI 1407944804 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1407944804
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- PN071249 (OH)
- Practice address
- 56879 Sarahsville Rd
Senecaville, OH 43780-9628 - Phone
- (740) 685-6621
- NPI assigned
- Oct 11, 2006
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PN071249 | OH | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN071249 | OH | Yes |
Addresses
Primary practice location
56879 Sarahsville Rd
Senecaville, OH 43780-9628
Mailing address
56879 Sarahsville Rd
Senecaville, OH 43780-9628
Phone (740) 685-6621
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2544287 | Medicaid | OH |
Other providers in Senecaville, OH
- Brandon Booher
- Julie R Delancey
- Jodi Michelle Edgell
- Gaining Insight, LLC
- Caleb Heller
- Julie V McElfresh
- Margaret Joyce Neff
All providers in Senecaville, OH · Licensed Practical Nurse in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. 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.