MS. BARBARA R. CLARK (NPI# 1114058203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114058203 |
Entity Type | Individual |
Full Name | MS. BARBARA R. CLARK |
Other Name | MRS. BARBARA R JENKINS |
Credential | APRN FNP-BC |
Practice Address |
962 Forest Gln Jonesboro GA 30238-8829 |
Practice Telephone | 7702318568 |
Practice Fax Number | 6784892348 |
Mailing Telephone | 7702318568 |
Mailing Fax Number | 6784892348 |
Enumeration Date | 2007-03-08 |
Last Update Date | 2019-08-30 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN128161 | GA | Physician Assistants & Advanced Practice Nursing Providers |
N | 163WR0006X |
Registered Nurse Specialization: Registered Nurse First Assistant |
RN128161 | GA | Nursing Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | RN LICENSE | RN128161 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
1883 Mcdonough Rd, Suite 200d, Hampton, GA 302283516 | 6785456775 | 6785456777 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629689526 | Barbara A Clark | Technician | 87 Maryland St, Keyser, WV 26726-2910 | 2020-08-13 |
1336674381 | Barbara Clark | Social Worker | 1509 Avenue P Ste B, Dodge City, KS 67801-7012 | 2017-04-27 |
1164792925 | Barbara Ann Clark | Licensed Practical Nurse | 1310 S Abbe Rd, Apt D, Elyria, OH 44035-7268 | 2012-01-10 |
1285960278 | Barbara Jean Clark | Case Manager/Care Coordinator | 719 S Melrose St, Casper, WY 82601-3445 | 2009-10-26 |
1285819318 | Barbara Latrease Clark | Physician Assistant | 2401 Ridgeley, #4, Los Angeles, CA 90016 | 2008-01-08 |
1245434489 | Barbara Louise Clark | Family Medicine | 2910 E Madison St Ste 211, Seattle, WA 98112-4214 | 2007-06-12 |
1508992090 | Barbara Oliver Clark | Social Worker | 535 W 217th St, New York, NY 10034-1302 | 2007-02-26 |
1427135763 | Barbara Del Clark | Psychologist | 1711 Glade St, College Station, TX 77840-4341 | 2006-11-01 |
1205800406 | Barbara Jean Clark | Dietitian, Registered | Va Northern California Health Care System, 150 Muir Rd, Martinez, CA 94553 | 2006-02-14 |
1669459707 | Barbara B Clark | Nurse Practitioner | 9309 Old Georgetown Rd, Bethesda, MD 20814-1620 | 2005-12-29 |
Street Address |
962 FOREST GLN |
City | JONESBORO |
State | GA |
Zip Code | 30238-8829 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689222747 | Brc Medhealth | Home Health | 962 Forest Gln, Jonesboro, GA 30238-8829 | 2019-08-30 |
1033240130 | First Assisting Solutions Inc | Registered Nurse | 962 Forest Gln, Jonesboro, GA 30238-8829 | 2007-03-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366969636 | K&p Gentle Hnads Homecare | Home Health | 772 Pointe South Pkwy, Apt. 501, Jonesboro, GA 30238 | 2017-08-27 |
1568991214 | Rehab Medical, Inc | Durable Medical Equipment & Medical Supplies | 8568 Highway 85, Jonesboro, GA 30238 | 2017-06-07 |
1821472077 | Surgivue First Assisting | Nurse Practitioner | 5865 Sinclair Way, Jonesboro, GA 30238 | 2015-07-17 |
1518384106 | Visions of Life Behavioral Health Services, Incorporated | Counselor | 754 Chapman Street, Jonesboro, GA 30238 | 2014-03-21 |
1942560206 | Terri L Lee | Counselor | 7899 Waterwheel Way, Jonesboro, GA 30238 | 2012-05-21 |
1265704985 | Visiting Homecare Support Services, Inc. | Home Health | 10886 Tara Village Way, Jonesboro, GA 30238 | 2012-01-27 |
1518297175 | Heavenly Assisted Care, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 10555 Aspenwood Ct, Jonesboro, GA 30238 | 2010-01-05 |
1649419821 | Carmen Melton Douglas | Speech-Language Pathologist | 10354 Shepperton Court, Jonesboro, GA 30238 | 2009-02-12 |
1205050259 | Caryn Ann Grzesiakowski | Chiropractor | 809 Flint River Road, Suite #4, Jonesboro, GA 30238 | 2007-04-12 |
1548325483 | Janet Musser Granski | Social Worker | 110 North Bend Court, Jonesboro, GA 30238 | 2006-12-22 |
Find all providers in zip 30238 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457958233 | Kaitlyn Soffray Simmons | Nurse Practitioner | 500 Kitchen St, Jonesboro, AR 72401-3135 | 2020-10-05 |
1407463938 | Aleshia Williams | Nurse Practitioner | 5401 Clear Creek Ln, Jonesboro, AR 72404-7006 | 2020-09-29 |
1790397495 | Kbsolutions and Behavioral Support Services, LLC | Nurse Practitioner | 7265 Mount Zion Blvd Ste 1, Jonesboro, GA 30236-2519 | 2020-08-24 |
1568080646 | Maryam A Muhammad | Nurse Practitioner | 2388 Reeves Creek Rd, Jonesboro, GA 30236-7229 | 2020-07-06 |
1346864121 | Joy Brew | Nurse Practitioner | 8399 Members Dr, Jonesboro, GA 30236-4271 | 2020-06-08 |
1053932806 | Sabrina Nannettee Bowen | Nurse Practitioner | 5800 C W Post Rd, Jonesboro, AR 72401-9602 | 2020-05-04 |
1265993182 | Sara Ruth Johnson | Nurse Practitioner | 701 Windover Rd Ste 400, Jonesboro, AR 72401-6065 | 2019-03-26 |
1366927956 | Yolanda Louise Davis | Nurse Practitioner | 1706 Heather Ridge Dr, Jonesboro, AR 72401-3748 | 2018-09-28 |
1457867475 | Eucharia Udoka Obi | Nurse Practitioner | 9051 Jenni Cir, Jonesboro, GA 30238-6800 | 2017-12-28 |
1346752151 | Chanel Dominque Bullock | Nurse Practitioner | 1150 E Matthews Ave Ste 203, Jonesboro, AR 72401 | 2017-11-02 |
Find all providers in JONESBORO |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.