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General NPI Number Information
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NPI Number | 1669199709
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Entity Type | Individual
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Provider Name | ELLE JO BARNES CPNP-PC
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Gender | Female
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Dates
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Enumeration Date | 10/19/2022
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Last Update Date | 10/22/2025
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Provider Practice Location Address
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Address Line | 350 WINN WAY
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City | DECATUR
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State | GA
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Zip | 30030-2106
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Country | US
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Telephone | 571-243-2706
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Fax |
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Provider Business Mailing Address
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Address Line | 3460 LANDEN PINE CT NE
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City | ATLANTA
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State | GA
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Zip | 30305-3781
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Country | US
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Telephone | 571-243-2706
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | RN297991
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License Number State | GA
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