Lillian Davenport Parker

Primary specialty

Child & Adolescent Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0807X

License

RN052630 CNSPMH Issued in GA

Legal business name

LILLIAN DAVENPORT PARKER

Practice address

3629 Windmill Rd
Ellenwood, GA 30294-2106

Phone

(770) 987-1881

NPI assigned

Jan 9, 2007

Last updated

Jun 20, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Lillian Grace Parker, CNSPMHNPI 1477607489

Title

Clinical Nurse Specialist

Phone

(770) 987-1881

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lillian Grace Parker, APRN

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Ellenwood, GA
  • NPI 1477607489
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1336298264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3629 WINDMILL RD",
            "city": "ELLENWOOD",
            "state": "GA",
            "postal_code": "302942106",
            "telephone_number": "770-987-1881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3629 WINDMILL RD",
            "city": "ELLENWOOD",
            "state": "GA",
            "postal_code": "302942106",
            "telephone_number": "770-987-1881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LILLIAN DAVENPORT PARKER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "LILLIAN",
        "authorized_official_middle_name": "GRACE",
        "authorized_official_title_or_position": "CLINICAL NURSE SPECIALIST",
        "authorized_official_telephone_number": "770-987-1881",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CNSPMH"
    },
    "taxonomies": [
        {
            "code": "364SP0807X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Adolescent",
            "state": "GA",
            "license": "RN052630 CNSPMH",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin J Lewis, RT
• Mani Lewis
• Jacquiece Liddell, AGACNP
• Life Intervention Network Center
• Life Wellness Group of Atlanta
• Tracy Lin, MS, OTR/L
• Wilbur T. Little
• Love Is Kind Counseling Services, LLC
• Loving Hands Serenity Healthcare LLC
• Loving Independence Home Care LLC.

• Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist in Ellenwood, GA
• Providers in Ellenwood, GA by specialty
• Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.