Organization · Type 2 NPI
Lillian Davenport Parker
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist · Ellenwood, GA
NPI number
1336298264
Active
Practice location
3629 Windmill Rd
Ellenwood, GA 30294-2106
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist Primary | 364SP0807X | RN052630 CNSPMH (GA) |
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist: Definition to come...
Another provider at this address
About NPI 1336298264
Lillian Davenport Parker's National Provider Identifier is 1336298264, issued on Jan 9, 2007. The primary taxonomy on file is Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist (364SP0807X), and the practice location is in Ellenwood, GA. The record was last updated on Jun 20, 2008.