Provider Demographics
NPI:1497118715
Name:BARKLEY, QUAVARDES (NP)
Entity Type:Individual
Prefix:
First Name:QUAVARDES
Middle Name:
Last Name:BARKLEY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:QUAVARDES
Other - Middle Name:
Other - Last Name:GUESS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:1100 PEACHTREE ST NE
Mailing Address - Street 2:200
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30309-4501
Mailing Address - Country:US
Mailing Address - Phone:404-445-5304
Mailing Address - Fax:404-445-5173
Practice Address - Street 1:1100 PEACHTREE ST NE
Practice Address - Street 2:200
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30309-4501
Practice Address - Country:US
Practice Address - Phone:404-445-5304
Practice Address - Fax:404-445-5173
Is Sole Proprietor?:No
Enumeration Date:2016-04-04
Last Update Date:2016-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN201909363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner