# JENNIFER DAVISON PSYCH NP LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770202152
- **Authorized official:** JENNIFER DAVISON PMHNP (OWNER)
- **Authorized official phone:** (504) 930-4545

## Contact information

- **Practice address:** 429 W AIRLINE HWY, LA PLACE, LA 70068-3817
- **Practice address phone:** (985) 652-3344
- **Practice address fax:** (504) 930-4545
- **Mailing address:** PO BOX 24105, NEW ORLEANS, LA 70184-4105

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 08/26/2022
- **Last updated:** 08/26/2022