Provider Demographics
NPI:1922185313
Name:KIERNAN, BARBARA S (PHD, RN, APRN, PNP)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:S
Last Name:KIERNAN
Suffix:
Gender:F
Credentials:PHD, RN, APRN, PNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:987 ST. SEBASTIAN WAY
Mailing Address - Street 2:MEDICAL COLLEGE OF GEORGIA
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30912
Mailing Address - Country:US
Mailing Address - Phone:706-721-4866
Mailing Address - Fax:706-721-8893
Practice Address - Street 1:987 ST. SEBASTIAN WAY
Practice Address - Street 2:MEDICAL COLLEGE OF GEORGIA
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30912
Practice Address - Country:US
Practice Address - Phone:706-721-4866
Practice Address - Fax:706-721-8893
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2010-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN100804 NP363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics