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LILLIAN DAVENPORT PARKER NPI 1336298264


NPI Information

NPI: 1336298264
Provider Name: LILLIAN DAVENPORT PARKER
Classification: Clinical Nurse Specialist - 364SP0807X
Entity Type: Organization

Specialization: Psychiatric/Mental Health, Child & Adolescent

Address:
3629 WINDMILL RD
ELLENWOOD, GA
ZIP 30294
Phone: (770) 987-1881
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LILLIAN DAVENPORT PARKER is a psychiatric/mental health and child and adolescent clinical nurse specialist in Ellenwood, GA. LILLIAN DAVENPORT PARKER NPI is 1336298264. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

3629 WINDMILL RD
ELLENWOOD, GA
ZIP 30294-106
Phone: (770) 987-1881

The provider's authorized official is Lillian Grace Parker .
The authorized official title is Clinical Nurse Specialist and has the following contact phone number (770) 987-1881.

The enumeration date for this NPI number is 1/9/2007 and was last updated on 6/20/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1364SP0807XClinical Nurse SpecialistPsychiatric/Mental Health, Child & AdolescentRN052630 CNSPMHGEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.