Juanjeca Quiyatta Barrow
Nurse Anesthetist, Certified Registered in Jackson, TN. Individual provider (NPI-1).
NPI number1922746239
StatusActive
Last updated in NPPESFeb 27, 2024
Details
- NPI
- 1922746239
- Entity type
- Individual (NPI-1)
- Name
- Juanjeca Quiyatta Barrow
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 25, 2022
- Certification date
- Feb 27, 2024
- Last updated
- Feb 27, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 28371 | SC | Yes |
| 163W00000X | Registered Nurse | RN230487 | GA |
Practice location
52 Pemberton CvJackson, TN 38305-5514
Phone 731-234-5663
Mailing address
52 Pemberton CvJackson, TN 38305-5514
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