Individual
MS. BARBARA R. CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN FNP-BC
Contact information
Practice address
962 FOREST GLN, JONESBORO, GA 30238-8829
(770) 231-8568
(678) 489-2348
Mailing address
962 FOREST GLN, JONESBORO, GA 30238-8829
(770) 231-8568
(678) 489-2348
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
RN128161
GA
363LF0000X
Family Nurse Practitioner
Primary
RN128161
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN128161
RN LICENSE
GA
Enumeration date
03/08/2007
Last updated
08/30/2019
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