Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TH0100X | Health Service | 2456 | TN |
NPI | 1346324894 |
---|---|
Provider Name | Dr. Jane Ann Barton |
First Address | Knoxville, TN 37917-1513 |
Second Address | Knoxville, TN 37919-4820 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/10/2006 |
Last Update Date | 08/03/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2157857 | COMPSYCH (01) | |
2456 | PSYCHOLOGIST'S LICENSE (01) | TN |
35859461 | (05) | TN |
4143334 | BCBS (01) | TN |
582735 | VALUE OPTIONS (01) | |
600021219 | MAGELLAN (01) | TN |