Provider Demographics
NPI:1225484165
Name:KLEIN, ESTHER BARNES (CNP)
Entity Type:Individual
Prefix:
First Name:ESTHER
Middle Name:BARNES
Last Name:KLEIN
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:ESTHER
Other - Middle Name:M
Other - Last Name:BARNES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNP
Mailing Address - Street 1:101 YORKTOWN DR
Mailing Address - Street 2:SUITE 110
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30214-1578
Mailing Address - Country:US
Mailing Address - Phone:678-364-5400
Mailing Address - Fax:
Practice Address - Street 1:4800 OLDE TOWNE PKWY STE 150A
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30068-4357
Practice Address - Country:US
Practice Address - Phone:770-509-1025
Practice Address - Fax:770-509-1884
Is Sole Proprietor?:No
Enumeration Date:2016-05-10
Last Update Date:2019-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN209634363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA003178404BMedicaid
GA003178404CMedicaid
GA003178404AMedicaid
GA003178404DMedicaid