Provider Demographics
NPI:1861388480
Name:BARNETT, JESSICA MARIE (NTP)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:MARIE
Last Name:BARNETT
Suffix:
Gender:F
Credentials:NTP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14508 HIGHCREST CT
Mailing Address - Street 2:
Mailing Address - City:POWAY
Mailing Address - State:CA
Mailing Address - Zip Code:92064-2723
Mailing Address - Country:US
Mailing Address - Phone:619-943-7084
Mailing Address - Fax:
Practice Address - Street 1:14508 HIGHCREST CT
Practice Address - Street 2:
Practice Address - City:POWAY
Practice Address - State:CA
Practice Address - Zip Code:92064-2723
Practice Address - Country:US
Practice Address - Phone:619-943-7084
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-18
Last Update Date:2025-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist