Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | 4704301628 | MI |
Y | 363LA2100X | Nurse Practitioner - Acute Care | 4704301628 | MI |
N | 363LA2100X | Nurse Practitioner - Acute Care | 95000038 | CA |
NPI | 1013396456 |
---|---|
Provider Name | Jana Suzanne Barkman |
First Address | Ann Arbor, MI 48108 |
Second Address | Ann Arbor, MI 48109-5338 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/05/2015 |
Last Update Date | 31/10/2016 |