Search › Georgia › 363LP0200X
Jennifer Davis, CPNP-PC
NPI 1003560251 · on the registry since 2022 · sole proprietor
Practice
- Address
- 3815 Harrison Rd
Loganville, GA 30052 - Phone
- (770) 466-6112
- Organisation at this address
- Loganville Pediatrics & Adolescent Care Associates
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 363LP0200X
363LP0200X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-02-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia