NPI 1528113370 · live from the CMS NPI Registry
Jennifer Larue Davitt, CRNFA
Registered Nurse, Registered Nurse First Assistant in Martin, GA. National Provider Identifier 1528113370, active.
NPI record
| NPI | 1528113370 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, Registered Nurse First Assistant 163WR0006X |
| Practice location | 709 Wilson Rd, Martin, GA 30557 |
| Practice phone | 706-244-1067 |
| Enumerated | January 24, 2007 |
| Last updated | July 8, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Registered Nurse First Assistant primary | 163WR0006X | RN147341 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.