Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | MD0000016784 | TN |
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | MD16784 | TN |
NPI | 1194806323 |
---|---|
Provider Name | Dr. Barry K Jarnagin |
First Address | Goodlettsville, TN 37072-3132 |
Second Address | Franklin, TN 37067-5665 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/10/2006 |
Last Update Date | 10/05/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1504746 | (05) | TN |
6026404 | BCBS TN (01) | TN |
BJ2779746 | DEA (01) | |
E85770 | (02) |