Provider Demographics
NPI:1124877816
Name:BARR, JAMIE (FNP)
Entity type:Individual
Prefix:
First Name:JAMIE
Middle Name:
Last Name:BARR
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140 SMITHVILLE CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:WARNER ROBINS
Mailing Address - State:GA
Mailing Address - Zip Code:31088-7800
Mailing Address - Country:US
Mailing Address - Phone:229-391-3500
Mailing Address - Fax:229-236-9976
Practice Address - Street 1:140 SMITHVILLE CHURCH RD
Practice Address - Street 2:
Practice Address - City:WARNER ROBINS
Practice Address - State:GA
Practice Address - Zip Code:31088-7800
Practice Address - Country:US
Practice Address - Phone:229-391-3500
Practice Address - Fax:229-236-9976
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-15
Last Update Date:2025-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAAPRN-NP208912363LF0000X
GAGAA-NP002312363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty