Jared Barnett
Community Health Worker in Pontiac, MI. Individual provider (NPI-1).
NPI number1639946783
StatusActive
Last updated in NPPESDec 8, 2023
Details
- NPI
- 1639946783
- Entity type
- Individual (NPI-1)
- Name
- Jared Barnett
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 8, 2023
- Certification date
- Dec 8, 2023
- Last updated
- Dec 8, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
Practice location
461 W Huron St Ste 107Pontiac, MI 48341-1601
Phone 248-857-7432
Mailing address
Po Box 430150Pontiac, MI 48343-0150
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