JENNIFER MARIE BARKSDALE FNP-BC
NPI 1790210284
Nurse Practitioner - Family in Modesto, CA

Active since April 22, 2017
3320 TULLY RD, MODESTO, CA 95350(209) 572-6900 Get Directions Write a Review

NPPES record last updated: September 14, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 27, 2019, Sep 21, 2018, May 12, 2017 and 2 more (5 updates tracked since 2017).

About Jennifer Marie Barksdale Fnp-bc NPPES

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

JENNIFER MARIE BARKSDALE FNP-BC (NPI 1790210284) is an individual family provider in Modesto, California, licensed in California (95006424) and active in the NPI registry since April 2017.

NPPES Registry Identity

NPI1790210284
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJENNIFER MARIE BARKSDALECredential: FNP-BC
Location Address3320 TULLY RDModesto, CA 95350-0800
Mailing Address3320 Tully RdModesto, CA 95350-0800 · (209) 572-6900
Sole ProprietorNo
Enumeration DateApril 22, 2017
Last NPPES UpdateSeptember 14, 20235 updates tracked since enumeration
NPPES CertifiedSeptember 14, 2023
NPI 1790210284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in CA · 95006424 Licensed in TX · AP133847
Also ListedRegistered Nurse · General PracticeTaxonomy 163WG0000X · License 779095 (CA)
3320 TULLY RD, Modesto, CA 95350

Other Providers at the Same Location NPPES 6

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

Nurse Practitioner (Family)
3320 TULLY RD
MODESTO, CA 95350
Nurse Practitioner
3320 TULLY RD
MODESTO, CA 95350
Hospitalist
3320 TULLY RD
MODESTO, CA 95350
Nurse Practitioner (Family)
3320 TULLY RD
MODESTO, CA 95350
Physician Assistant
3320 TULLY RD
MODESTO, CA 95350
Nurse Practitioner (Family)
3320 TULLY RD
MODESTO, CA 95350

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Barksdale's NPI number?

The NPI number for Jennifer Barksdale is 1790210284. It was assigned to this individual provider in the NPPES registry on April 22, 2017.

Where is Jennifer Barksdale located?

Jennifer Barksdale practices at 3320 Tully Rd, Modesto, CA 95350. The listed phone number is (209) 572-6900.

What is Jennifer Barksdale's specialty?

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

When was this NPI record last updated?

The NPPES record for Jennifer Barksdale was last updated on September 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.