Healthcare Provider Details

I. General information

NPI: 1225484165
Provider Name (Legal Business Name): ESTHER BARNES KLEIN CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ESTHER M BARNES CNP

II. Dates (important events)

Enumeration Date: 05/10/2016
Last Update Date: 03/07/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4800 OLDE TOWNE PKWY STE 150A
MARIETTA GA
30068-4357
US

IV. Provider business mailing address

101 YORKTOWN DR SUITE 110
FAYETTEVILLE GA
30214-1578
US

V. Phone/Fax

Practice location:
  • Phone: 770-509-1025
  • Fax: 770-509-1884
Mailing address:
  • Phone: 678-364-5400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN209634
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: