Jennifer Roark is a Primary Care in Gainesville, Georgia. Jennifer Roark practices all healthcare services and medical treatments related to Primary Care. The NPI Number for Jennifer Roark is 1952307670. The last update date is 2020-10-07.
Jennifer Roark's current location address is 1856 Thompson Bridge Rd Ste 14, Gainesville, Georgia. You can contact this provider via phone number 7702199460. The mailing address for Jennifer Roark is 1856 Thompson Bridge Rd Ste 14, Gainesville, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer Roark |
|---|---|
| Address | 1856 Thompson Bridge Rd Ste 14, Gainesville, Georgia |
| Phone Number | 7702199460 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | FNP |
NPI Number Detail
| NPI Number | 1952307670 |
|---|---|
| Provider Enumeration Date | 2005-06-27 |
| Last Updated Date | 2020-10-07 |
Provider Mailing Address Detail
| Address | 1856 Thompson Bridge Rd Ste 14 |
|---|---|
| City | Gainesville |
| State | Georgia (GA) |
| Post Code | 3050116200 |
| Phone Number | 7702199460 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Primary Care |
|---|---|
| Taxonomy | 363Lp2300X |
| Licence No | RN097864 |
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Definition: An advanced practice registered nurse expert in comprehensive, first contact primary healthcare for patients of all ages. |
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What is the unique provider identifier assigned to Jennifer Roark?
The Jennifer Roark has been issued the NPI (National Provider Identifier) 1952307670 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Jennifer Roark?
The Jennifer Roark is physically situated at 1856 Thompson Bridge Rd Ste 14, in the city of Gainesville, state of GA, with the postal code 3050116200.
What is Jennifer Roark's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jennifer Roark's area of specialization is Primary Care, and the corresponding taxonomy code that categorizes this field of practice is 363Lp2300X.
On what date was the 1952307670 assigned to Jennifer Roark?
The Jennifer Roark was issued its 1952307670 on 2005-06-27, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Jennifer Roark's details last updated?
The information pertaining to the Jennifer Roark, including its address, specialty, and other details, was most recently updated on 2020-10-07.
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