Clark, Barbara R.
Clark, Barbara R. is an individual health care provider with primary practice located at 962 Forest Gln , Jonesboro GA 30238-8829. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse First Assistant, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Clark, Barbara R. can be contacted via phone (770) 231-8568.Contact Information
Primary practice address
962 Forest Gln
Jonesboro GA 30238-8829
Phone: (770) 231-8568
Fax: (678) 489-2348
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Registered Nurse First Assistant | 163WR0006X | RN128161 | Georgia |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN128161 | Georgia |
Profile Details
NPI number | 1114058203 |
---|---|
LBN Legal business name | Clark, Barbara R. |
Credentials | APRN FNP-BC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 8th, 2007 |
Last updated | Aug 30th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1114058203 | NPPES |
Georgia | Other | RN128161 | RN LICENSE |
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