Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | 1010405 | TX |
NPI | 1073127031 |
---|---|
Provider Name | Jennifer Barbosa |
First Address | Mckinney, TX 75071-5513 |
Second Address | Mckinney, TX 75071-5513 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/09/2020 |
Last Update Date | 06/12/2021 |