Provider Demographics
NPI:1902951353
Name:TERNES, BARBARA JEAN
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:JEAN
Last Name:TERNES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21078 11TH RD
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:KS
Mailing Address - Zip Code:67119-9200
Mailing Address - Country:US
Mailing Address - Phone:620-455-3413
Mailing Address - Fax:
Practice Address - Street 1:21078 11TH RD
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:KS
Practice Address - Zip Code:67119-9200
Practice Address - Country:US
Practice Address - Phone:620-455-3413
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-24
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant