LILLIAN DAVENPORT PARKER
NPI 1336298264
Clinical Nurse Specialist - Psychiatric/Mental Health, Child & Adolescent in Ellenwood, GA

Active since January 09, 2007
3629 WINDMILL RD, ELLENWOOD, GA 30294(770) 987-1881 Get Directions Write a Review

NPPES record last updated: June 20, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lillian Davenport Parker NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LILLIAN DAVENPORT PARKER (NPI 1336298264) is a healthcare organization registered as a psychiatric/mental health, child & adolescent in Ellenwood, Georgia and active in the NPI registry since January 2007. The organization lists Lillian Grace Parker, Clinical Nurse Specialist, as its authorized official.

NPPES Registry Identity

NPI1336298264
Entity TypeOrganization
Primary Taxonomy364SP0807X
Legal Business NameLILLIAN DAVENPORT PARKER
Location Address3629 WINDMILL RDEllenwood, GA 30294-2106
Mailing Address3629 Windmill RdEllenwood, GA 30294-2106 · (770) 987-1881
Organization SubpartNo
Authorized OfficialLillian Grace ParkerClinical Nurse Specialist · (770) 987-1881
Enumeration DateJanuary 9, 2007
Last NPPES UpdateJune 20, 2008
NPI 1336298264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Nurse Specialist · Psychiatric/Mental Health, Child & AdolescentPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SP0807X
License Licensed in GA · RN052630 CNSPMH
3629 WINDMILL RD, Ellenwood, GA 30294

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinical Nurse Specialist (Psychiatric/Mental Health)
3629 WINDMILL RD
ELLENWOOD, GA 30294

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lillian Davenport Parker's NPI number?

The NPI number for Lillian Davenport Parker is 1336298264. It was assigned to this organization in the NPPES registry on January 9, 2007.

Where is Lillian Davenport Parker located?

Lillian Davenport Parker is located at 3629 Windmill Rd, Ellenwood, GA 30294. The listed phone number is (770) 987-1881.

What is Lillian Davenport Parker's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Psychiatric/Mental Health, Child & Adolescent, with taxonomy code 364SP0807X.

When was this NPI record last updated?

The NPPES record for Lillian Davenport Parker was last updated on June 20, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.