Jenni White Barnes, NP
Individual provider Active NPI Family Nurse Practitioner · Clarkville, TN
NPI 1639634827 · NPPES record last updated Apr 9, 2024
Key facts
- NPI
- 1639634827
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 25158 (TN)
- Practice address
- 2443 Old Russellville Pike
Clarkville, TN 37040-6858 - Phone
- (931) 542-9010
- NPI assigned
- Feb 1, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210621002485 | TN | Practitioner - Nurse Practitioner | 1759616618 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1639634827 | TN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Compassion Care Clinic | Family Medicine | Current |
Accepting new patients |
| Cloud Health Medical Group, P.a. | Past | Accepting new patients |
Locations
2269 Wilma Rudolph Blvd
Ste 106
Clarksville, TN 37040
Phone (931) 542-9010
2443 Old Russellville Pike
Clarksville, TN 37040
Phone (931) 229-0023
Interoperability endpoints
- https://api.platform.athenahealth.com/15045/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 1639634827 | TN | |
| Family Nurse Practitioner | 363LF0000X | 25158 | TN | Yes |
Addresses
Primary practice location
2443 Old Russellville Pike
Clarkville, TN 37040-6858
Mailing address
2443 Old Russellville Pike
Clarkville, TN 37040-6858
Phone (931) 542-9010
Other practice location 1
6294 Highway 41A
Pleasant View, TN 37146-8175
Phone (615) 746-8872
Other practice location 2
800 Weatherly Dr Ste 100L
Clarksville, TN 37043-8958
Phone (931) 553-2800
Other practice location 3
2269 Wilma Rudolph Blvd
Clarksville, TN 37040-3179
Phone (931) 542-9010
Other providers in Clarkville, TN
All providers in Clarkville, TN · Family Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 9, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.