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Individual
JENNIFER MICHELLE DAVIDSON
Active
Individual
JENNIFER MICHELLE DAVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
2713
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05188531
—
MS
05
—
1659638310
—
MO
05
—
210036003
—
AR
05
—
7100589420
—
KY
05
—
Q008515
—
TN
Enumeration date
04/19/2012
Last updated
02/25/2025
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