Individual
JENNIFER MARIE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
480 GLENWOOD PL SE, ATLANTA, GA 30316-1820
(404) 324-6633
Mailing address
480 GLENWOOD PL SE, ATLANTA, GA 30316-1820
(404) 324-6633
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN211623
GA
Other
Enumeration date
12/19/2025
Last updated
12/19/2025
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