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Jody Barham is one of 107 nurse practitioners practicing in Mesquite, Texas .
Jody Barham practices with Supportive Care Of Texas PC.
Registry record (NPPES)
NPI
1992081491
Type
Type 1 · Individual
Primary taxonomy
Nurse Practitioner, Psychiatric/Mental Health · 363LP0808X
Address on file
2118 N State Line Ave Texarkana, AR 71854-3583 (870) 703-7764
Enumerated
Oct 27, 2011
Record last updated
Dec 10, 2025
License states listed
AR, TX
Medicare (CMS)
Enrollment
Medicare-enrolled in AR, TXNurse Practitioner
Revalidation due
No date set by CMS
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Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history
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Practice locations
825 W Kearney St
Mesquite , TX 75149
(866) 708-1240
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Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.
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