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JODY A BARHAM APN

Psychiatric/Mental Health >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1992081491

Individual Registrant:
 JODY A BARHAM APN
Gender: M
Not Sole Proprietor

Location and contact information for practice:
1205 E 35TH ST  TEXARKANA, AR 71854-2746 US
Tel: 870-216-0080  Fax: 870-216-0096

Contact information for business:
4323 JEFFERSON AVE  TEXARKANA, AR 71854-1515 US
Tel: 870-773-0700  Fax: 870-773-0705

Registration Information:
NPI: 1992081491
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LP0808XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Psychiatric/Mental Health
ARA03610

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
LICENSEA003610AR01




HEALTH CARE JOBS AR - Page 1



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