Provider Demographics
NPI:1336190438
Name:JOCKERS, BARBARA FAY (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:FAY
Last Name:JOCKERS
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:MRS
Other - First Name:BARBARA
Other - Middle Name:SCOTT
Other - Last Name:JOCKERS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:31 MING LI TRL
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:GA
Mailing Address - Zip Code:30528-3761
Mailing Address - Country:US
Mailing Address - Phone:706-219-4474
Mailing Address - Fax:706-219-1311
Practice Address - Street 1:1220 CHATUGE CIR
Practice Address - Street 2:
Practice Address - City:HIAWASSEE
Practice Address - State:GA
Practice Address - Zip Code:30546-1825
Practice Address - Country:US
Practice Address - Phone:706-896-9442
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN158619163WM1400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM1400XNursing Service ProvidersRegistered NurseNurse Massage Therapist (NMT)