Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | 11446 | TX |
N | 111NN1001X | Nutrition | 11446 | TX |
NPI | 1871809673 |
---|---|
Provider Name | Dr. Krystal Jasmine Barnett |
First Address | Frisco, TX 75034-9054 |
Second Address | Frisco, TX 75034-9054 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2010 |
Last Update Date | 14/12/2020 |