Individual
MRS. JENNIFER LARUE DAVITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNFA
Contact information
Practice address
709 WILSON RD, MARTIN, GA 30557-3573
(706) 244-1067
(888) 874-3544
Mailing address
709 WILSON RD, MARTIN, GA 30557-3573
(706) 244-1067
(888) 874-3544
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
RN147341
GA
Other
Enumeration date
01/24/2007
Last updated
07/08/2007
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