Provider Demographics
NPI:1124413448
Name:HARPER, ROCKLYN WANN (RN)
Entity Type:Individual
Prefix:
First Name:ROCKLYN
Middle Name:WANN
Last Name:HARPER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5946 WESLEYAN DR N
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31210-6038
Mailing Address - Country:US
Mailing Address - Phone:888-210-2727
Mailing Address - Fax:214-988-0551
Practice Address - Street 1:5946 WESLEYAN DR N
Practice Address - Street 2:
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31210-6038
Practice Address - Country:US
Practice Address - Phone:888-210-2727
Practice Address - Fax:214-988-0551
Is Sole Proprietor?:No
Enumeration Date:2015-04-02
Last Update Date:2015-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN083928163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse