Provider Demographics
NPI:1548140932
Name:BARBER, JILLIAN ELAINE
Entity type:Individual
Prefix:
First Name:JILLIAN
Middle Name:ELAINE
Last Name:BARBER
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 1:2102 JUNIOR FURNACE POWELLSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN FURNACE
Mailing Address - State:OH
Mailing Address - Zip Code:45629-8929
Mailing Address - Country:US
Mailing Address - Phone:740-646-8978
Mailing Address - Fax:
Practice Address - Street 1:2102 JUNIOR FURNACE POWELLSVILLE RD
Practice Address - Street 2:
Practice Address - City:FRANKLIN FURNACE
Practice Address - State:OH
Practice Address - Zip Code:45629-8929
Practice Address - Country:US
Practice Address - Phone:740-646-8978
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-05
Last Update Date:2025-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor