Roark, Jennifer
Roark, Jennifer is an individual health care provider with primary practice located at 1856 Thompson Bridge Rd Ste 14 , Gainesville GA 30501-1620. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Roark, Jennifer can be contacted via phone (770) 219-9460.Contact Information
Primary practice address
1856 Thompson Bridge Rd Ste 14
Gainesville GA 30501-1620
Phone: (770) 219-9460
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | RN097864 | Georgia |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN097864 | Georgia |
Profile Details
| NPI number | 1952307670 |
|---|---|
| LBN Legal business name | Roark, Jennifer |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2005 |
| Last updated | Oct 7th, 2020 - about 6 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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