Healthcare Provider Details

I. General information

NPI: 1457999732
Provider Name (Legal Business Name): KHLOE BARLOW DNP, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/17/2019
Last Update Date: 09/16/2021
Certification Date: 09/16/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 PEACHTREE ST NE STE 1275
ATLANTA GA
30308-2240
US

IV. Provider business mailing address

550 PEACHTREE ST NE STE 1275
ATLANTA GA
30308-2240
US

V. Phone/Fax

Practice location:
  • Phone: 404-872-3121
  • Fax:
Mailing address:
  • Phone: 404-872-3121
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN301999
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN301999
License Number StateGA
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number735082
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: