NPI 1114058203 · live from the CMS NPI Registry
Barbara R. Clark, APRN FNP-BC
Nurse Practitioner, Family in Jonesboro, GA. National Provider Identifier 1114058203, active.
NPI record
| NPI | 1114058203 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 962 Forest Gln, Jonesboro, GA 30238 |
| Practice phone | 770-231-8568 |
| Enumerated | March 8, 2007 |
| Last updated | August 30, 2019 |
| Sole proprietor | No |
| Other names | Barbara Jenkins |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Registered Nurse First Assistant | 163WR0006X | RN128161 (GA) |
| Nurse Practitioner, Family primary | 363LF0000X | RN128161 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.