Individual provider · Type 1 NPI

Phillip Jennings Iii

Registered Nurse · Lawrenceville, GA

NPI number 1740658749 Active

Practice location

175 Gwinnett Dr
Lawrenceville, GA 30046-8444

Fax (678) 212-6343

Mailing address

208 Berkeley Woods Dr
Duluth, GA 30096-6346

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000XRN101949 (GA)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1740658749

Phillip Jennings Iii's National Provider Identifier is 1740658749, issued on Sep 8, 2015. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Lawrenceville, GA. The record was last updated on Sep 8, 2015.