Provider Demographics
NPI:1427855410
Name:BARKLEY, JENI'A NYCOLE
Entity type:Individual
Prefix:
First Name:JENI'A
Middle Name:NYCOLE
Last Name:BARKLEY
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1470 ALPHADA AVE APT K3
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44310-2720
Mailing Address - Country:US
Mailing Address - Phone:330-957-9756
Mailing Address - Fax:
Practice Address - Street 1:1470 ALPHADA AVE APT K3
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44310-2720
Practice Address - Country:US
Practice Address - Phone:330-957-9756
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-26
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide