Individual
JESSICA LYNN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
2025 FORD AVE, WYANDOTTE, MI 48192-2312
(734) 281-3080
(734) 281-8815
Mailing address
2025 FORD AVE, WYANDOTTE, MI 48192-2312
(734) 281-3080
(734) 281-8815
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
4704245661
MI
363LC0200X
Critical Care Medicine Nurse Practitioner
4704245661
MI
Other
Enumeration date
10/23/2009
Last updated
04/11/2025
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