JACKIE BARNES ARNP
NPI 1417312471
Nurse Practitioner - Family in Lakeland, FL

Q: What is Jackie Barnes's NPI number?

The NPI number for Jackie Barnes is 1417312471. It was assigned to this individual provider in the NPPES registry on December 17, 2015.

Q: What is Jackie Barnes's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Jackie Barnes was last updated on June 15, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 17, 2015

4710 S FLORIDA AVE, LAKELAND, FL 33813(863) 284-5000(863) 284-6803 Get Directions Write a Review

NPPES record last updated: June 15, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 15, 2016, Dec 17, 2015 (2 updates tracked since 2015).

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About Jackie Barnes Arnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKIE BARNES ARNP (NPI 1417312471) is an individual family provider in Lakeland, Florida, licensed in Florida (ARNP9190645) and active in the NPI registry since December 2015.

NPPES Registry Identity

NPI1417312471

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJACKIE BARNESCredential: ARNP

Location Address4710 S FLORIDA AVELakeland, FL 33813-2165

Mailing Address1324 Lakeland Hills Blvd., Attn: Managed Care DeptLakeland, FL 33805

Phone(863) 284-5000

Fax(863) 284-6803

Sole ProprietorNo

Enumeration DateDecember 17, 2015

Last NPPES UpdateJune 15, 20162 updates tracked since enumeration

✔ NPI 1417312471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in FL · ARNP9190645

4710 S FLORIDA AVE, Lakeland, FL 33813

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Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MELANTHA AYE MD

Internal Medicine