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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114058203 NPPES
Georgia Other RN128161 RN LICENSE

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