OrganizationActive
Lillian Davenport Parker
NPI 1336298264 · Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist · Ellenwood, GA
Provider details
- NPI number
- 1336298264
- Entity type
- Organization
- Primary specialty
- Child & Adolescent Psychiatric/Mental Health Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Lillian Parker, Clinical Nurse Specialist(770) 987-1881
- License
- RN052630 CNSPMH (GA)
Specialties & taxonomies
- Child & Adolescent Psychiatric/Mental Health Clinical Nurse SpecialistPrimary364SP0807XLicense RN052630 CNSPMH (GA)
Physician Assistants & Advanced Practice Nursing Providers
Practice location
3629 Windmill Rd
Ellenwood, GA 30294-2106
Phone: (770) 987-1881
Approximate (ZIP-level) locationGet directions
Mailing address
3629 Windmill Rd
Ellenwood, GA 30294-2106
Registry dates
- Enumerated
- 2007-01-09
- Last updated
- 2008-06-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.