Provider Demographics
NPI:1073745220
Name:CONYERS, BARBARA JEAN (NP)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:JEAN
Last Name:CONYERS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:BARBARA
Other - Middle Name:JEAN
Other - Last Name:COFFEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:3541 CHATTANOOGA RD
Mailing Address - Street 2:
Mailing Address - City:TUNNEL HILL
Mailing Address - State:GA
Mailing Address - Zip Code:30755-9393
Mailing Address - Country:US
Mailing Address - Phone:706-516-4426
Mailing Address - Fax:706-516-4429
Practice Address - Street 1:3541 CHATTANOOGA RD
Practice Address - Street 2:
Practice Address - City:TUNNEL HILL
Practice Address - State:GA
Practice Address - Zip Code:30755-9393
Practice Address - Country:US
Practice Address - Phone:706-516-4426
Practice Address - Fax:706-516-4429
Is Sole Proprietor?:No
Enumeration Date:2009-08-20
Last Update Date:2014-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN14164363L00000X
GARN163150 NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner