Davenport, Jennifer Lynn

Davenport, Jennifer Lynn is an individual health care provider with primary practice located at 684 Sixes Rd Ste 125 , Holly Springs GA 30115. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Davenport, Jennifer Lynn can be contacted via phone (678) 426-5450.

Contact Information

Primary practice address
684 Sixes Rd Ste 125 Holly Springs GA 30115
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN222665 Georgia

Profile Details

NPI number 1700394319
LBN Legal business name Davenport, Jennifer Lynn
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2018
Last updated Jul 31st, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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