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
Phone: (678) 426-5450
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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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