Individual
MRS. JESSICA S DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
580 PROVIDENCE PARK DR E FL 2, MOBILE, AL 36695
(251) 631-3570
(251) 631-3572
Mailing address
801 YORK ST, MANITOWOC, WI 54220-4630
(920) 663-9008
(920) 684-1439
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA431
AL
363AM0700X
Medical Physician Assistant
PA431
AL
Other
Enumeration date
12/30/2005
Last updated
07/21/2022
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