| Provider / Organization | NPI | Date Certified |
|---|---|---|
| JEFFERY DAVID BARLOW | 1043248701 | 2023-02-11 |
Jeffery D Barlow [M] graduated in 2016 from University Of South Alabama College Of Medicine and primarily specializes in Nurse Practitioner.
Jeffery David Barlow is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1043248701. Registration indicates Jeffery David Barlow is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Critical Care Medicine, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, ) Access to Adult/Geriatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Family, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Family, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, ) Access to Adult/Geriatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Acute Care, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Acute Care, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )
| PECOS ID | 8123259256 |
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Dr. Jeffery David Barlow DNP, APRN |
| Practice Office Address | 601 S SERVICE RD # 6253 MOORE, OK US |
| Practice Office Telephone | 8886114429 |
| Practice Office Fax | 8886114429 |
| Mailing Address | 601 S. SERVICE RD., #6253 MOORE, OK 731539998 US |
| Business Telephone | 8886114429 |
| Business Fax | 8886114429 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 1315 Chisholm Trail Pkwy | Duncan, OK 735331544 | 5806066852 / 5806066424 |
| 1220 N Glenn L English St | Cordell, OK 736322010 | 5808323339 / 5808322331 |
| 1201 Health Center Pkwy | Yukon, OK 730996381 | 4057176800 |
| Code | Practice | License No State |
|---|---|---|
| 363L00000X | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse PractitionerAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner All Other Specialties & Provider Types Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers | APN0001635CNP
CO |
| 363LC0200X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Critical Care Medicine All Other Specialties & Provider Types Nurse Practitioner Critical Care Medicine Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | 83548
OK |
| 363LF0000X | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse PractitionerAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Family All Other Specialties & Provider Types Nurse Practitioner Family Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | R0083548
OK |
| 363LA2100X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse PractitionerAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Acute Care All Other Specialties & Provider Types Nurse Practitioner Acute Care Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | 83548
OK |
| 200523800 | MEDICAID | OK |