Jennifer Davis
Nurse Practitioner - Pediatrics
3815 Harrison Rd
Loganville
, Georgia 30052-2462
Jennifer Davis
Nurse Practitioner - Pediatrics
3815 Harrison Rd
Loganville
, Georgia 30052-2462
(276) 492-6373
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About
Features
Specialties
- Nurse Practitioner - Pediatrics
Languages spoken
- English
Location
First Address
- Jennifer Davis
- 2011 Rodeo Ct Se
- Atlanta, GA
- Zip : 30316-4917
- Phone : (276) 492-6373
Second Address
- Jennifer Davis
- 3815 Harrison Rd
- Loganville, GA
- Zip : 30052-2462
- Phone : (770) 466-6112
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0200X | Nurse Practitioner - Pediatrics | RN245655 | GA |
National Provider Identifier
| NPI | 1003560251 |
|---|---|
| Provider Name | Jennifer Davis |
| First Address | Atlanta, GA 30316-4917 |
| Second Address | Loganville, GA 30052-2462 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/02/2022 |
| Last Update Date | 07/02/2022 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.