Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Jenny Kadavoor

Individual provider Licensed Practical Nurse · NPI 1114809613

Mrs. Jenny Kadavoor is a Licensed Practical Nurse in Lawrenceville, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2025

Practice location Address checks out

848 Blue Heather Ct
Lawrenceville, GA 30045-9729
Phone: (201) 602-2610
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence LPN098313 (GA)

Record details

NPI number1114809613
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 24, 2025
Last updated in NPPESJuly 27, 2025
Certification dateJuly 27, 2025
Mailing address848 Blue Heather Ct, Lawrenceville, GA 30045-9729

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