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1003560251
JENNIFER DAVIS
LOGANVILLE, GA
NPI
1003560251
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: GA RN245655)
Enumeration Date
2022-02-07
Last Update Date
2022-02-07
Business Address
JENNIFER DAVIS CPNP-PC
3815 HARRISON RD
LOGANVILLE, GA 30052-2462
Phone number: 770-466-6112
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Mailing Address
JENNIFER DAVIS CPNP-PC
2011 RODEO CT SE
ATLANTA, GA 30316-4917
Phone number: 276-492-6373
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