Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | RN144617 | GA |
NPI | 1306801014 |
---|---|
Provider Name | Jennifer L. Griffith |
First Address | Savannah, GA 31404-6200 |
Second Address | Savannah, GA 31404-6200 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/04/2006 |
Last Update Date | 28/09/2010 |