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NPI Code Detail

MEDICARE: CLARISA ROOKS ARNP

MEDICARE: CLARISA ROOKS ARNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerRN245478GA
2363LF0000XFamily Nurse PractitionerARNP9270667FL

General Provider Information

NPI Number : 1699169441
Entity Type Code : Individual
Provider Name (Legal Business Name) : CLARISA ROOKS ARNP
Provider Business Mailing Address
First Line : 180 PEPPERDINE WAY
Second Line :
City : FAYETTEVILLE
State : GA
Zip : 30214-3664
Country : US
Telephone Number : 386-717-9010
Fax Number :
Provider Business Practice Location Address
First Line : 101 LEXINGTON CIR
Second Line :
City : PEACHTREE CITY
State : GA
Zip : 30269-6845
Country : US
Telephone Number : 386-717-9010
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/18/2015
Last Update Date : 03/31/2015

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