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Lottie S Davenport, FNP-C
Family Nurse Practitioner in Jasper, Georgia
NPI 1629048756

Lottie S Davenport is a Family Nurse Practitioner based in Jasper, GA and is specialized in Family. Lottie S Davenport practices in Jasper, GA and has the professional credentials of FNP-C. The NPI Number for Lottie S Davenport is 1629048756 and holds a License No. RN149848 (Georgia).

The current practice location address for Lottie S Davenport is 51 Gordon Rd Ste 201, Jasper, GA and can be reached out via phone at 706-692-9768.

Location: 51 Gordon Rd Ste 201, Jasper, GA, 30143-7104
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629048756
Provider Name
Lottie S Davenport
Credential
FNP-C
Provider Entity Type
Individual
Gender
Female
Address
51 Gordon Rd Ste 201, Jasper, GA, 30143-7104
Phone Number
706-692-9768
Fax Number
Provider Enumeration Date
01/23/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
51 Gordon Rd Ste 201
City
Jasper
State
Georgia
Zip
30143-7104
Phone Number
706-692-9768
Fax Number
person
Provider Business Mailing Address Details
Address
51 Gordon Rd Ste 201
City
Jasper
State
Georgia
Zip
30143-7104
Phone Number
706-692-9768
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
RN149848 (Georgia)
Definition
Definition to come...
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