| NPI | 1447684816 |
|---|---|
| Former Name | JENILEE JO BARTA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NE 111576) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: NE 111576) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: NE 111576) | |
| Enumeration Date | 2013-08-21 |
| Last Update Date | 2026-01-12 |