Individual provider · Type 1 NPI
Jennifer Roark, FNP
Family Nurse Practitioner · Gainesville, GA
NPI number
1952307670
Active
Practice location
1856 Thompson Bridge Rd Ste 14
Gainesville, GA 30501-1620
Mailing address
PO Box 742616
Atlanta, GA 30374-2616
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | RN097864 (GA) |
| Family Nurse Practitioner Primary | 363LF0000X | RN097864 (GA) |
Family Nurse Practitioner: Definition to come...
3 other providers at this address
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- Olivia Jane Coley, APRN, FNP-CFamily Nurse Practitioner Gainesville, GA NPI 1033094420
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About NPI 1952307670
Jennifer Roark, FNP's National Provider Identifier is 1952307670, issued on Jun 27, 2005. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Gainesville, GA. The record was last updated on Oct 7, 2020.