Individual provider · Type 1 NPI

Jenny Kadavoor

Licensed Practical Nurse · Lawrenceville, GA

NPI number 1114809613 Active

Practice location

848 Blue Heather Ct
Lawrenceville, GA 30045-9729

Call (201) 602-2610 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XLPN098313 (GA)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1114809613

Jenny Kadavoor's National Provider Identifier is 1114809613, issued on Jul 24, 2025. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Lawrenceville, GA. The record was last updated on Jul 27, 2025.