Individual
JENNIFER COVODE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, NP-C
Contact information
Practice address
1180 MCKENDREE CHURCH RD, SUITE NUMBER 202, LAWRENCEVILLE, GA 30043-5207
(770) 817-4445
Mailing address
1180 MCKENDREE CHURCH RD, SUITE NUMBER 202, LAWRENCEVILLE, GA 30043-5207
(770) 817-4445
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN193407
GA
Other
Enumeration date
04/27/2016
Last updated
03/06/2017
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