Active NPIIndividual provider

Jessica B Barra, FNP-C

Nurse Practitioner, Family in San Mateo, California

NPI Number1114406519
Practice location
951 Mariners Island Blvd Ste 300, San Mateo, CA 94404-1560
Fax
888-352-7383
Last updated
March 1, 2021

Jessica B Barra is a Nurse Practitioner, Family based in San Mateo, CA. Jessica B Barra practices in San Mateo, CA and has the professional credentials of FNP-C. The NPI Number for Jessica B Barra is 1114406519 and holds a License No. 70 (FL). The current practice location address for Jessica B Barra is 951 Mariners Island Blvd Ste 300, San Mateo, CA 94404-1560 and can be reached out via phone at 772-217-4557 and via fax at 888-352-7383.

Provider Profile Details

NPI Number
1114406519
Provider Name
Jessica B Barra
Credential
FNP-C
Provider Entity Type
Individual
Gender
Female
Address
951 Mariners Island Blvd Ste 300, San Mateo, CA 94404-1560
Phone Number
772-217-4557
Fax Number
888-352-7383
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Other Names
Jessica B Crider (Former Name)
Provider Enumeration Date
August 7, 2018
Last Update Date
March 1, 2021
Certification Date
March 1, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
951 Mariners Island Blvd Ste 300
San Mateo, CA 94404-1560
Zip
94404-1560
Phone Number
772-217-4557
Fax Number
888-352-7383
San Mateo, CA 94404Get directions →

Provider Business Mailing Address Details

Address
8025 E Tuckey Ln
Scottsdale, AZ 85250-5651
City
Scottsdale
State
AZ
Zip
85250-5651
Phone Number
480-254-1131

License Information

License Number (1)
70
License State (1)
FL
Taxonomy (1)
Nurse Practitioner, Family · 363LF0000X
License Number (2)
RN285115
License State (2)
GA
Taxonomy (2)
Nurse Practitioner, Family · 363LF0000X
License Number (3)
AP11576
License State (3)
AZ
Taxonomy (3)
Nurse Practitioner, Family · 363LF0000X · Primary
License Number (4)
54965
License State (4)
NM
Taxonomy (4)
Nurse Practitioner, Family · 363LF0000X
License Number (5)
819746
License State (5)
NV
Taxonomy (5)
Nurse Practitioner, Family · 363LF0000X
License Number (6)
AP60983710
License State (6)
WA
Taxonomy (6)
Nurse Practitioner, Family · 363LF0000X
License Number (7)
APRN-2727
License State (7)
HI
Taxonomy (7)
Nurse Practitioner, Family · 363LF0000X
License Number (8)
44356
License State (8)
WY
Taxonomy (8)
Nurse Practitioner, Family · 363LF0000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jessica B Barra, FNP-C?

The NPI number of Jessica B Barra, FNP-C is 1114406519. It was assigned on August 7, 2018 and is currently active in the NPPES registry.

What is the specialty of Jessica B Barra, FNP-C?

Jessica B Barra, FNP-C is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in FL under license number 70.

Where does Jessica B Barra, FNP-C practice?

The practice location is 951 Mariners Island Blvd Ste 300, San Mateo, CA 94404-1560. The office can be reached at 772-217-4557 (phone) or 888-352-7383 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114406519 directly on the NPPES registry website.

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