Barnes, Jayde

Barnes, Jayde is an individual health care provider with primary practice located at 2705 E 17Th St , Ammon ID 83406-6601. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Barnes, Jayde can be contacted via phone (208) 346-7500.

Contact Information

Primary practice address
2705 E 17Th St Ammon ID 83406-6601
Phone: (208) 346-7500
Fax: (208) 346-7501
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 53450 Idaho
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 53450 Idaho

Profile Details

NPI number 1023618659
LBN Legal business name Barnes, Jayde
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2020
Last updated Jul 3rd, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023618659 NPPES
Idaho MEDICAID 1023618659

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