Individual
JILLIAN C DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
90 RUSH ST, LEXINGTON, TN 38351-2241
(731) 968-8148
Mailing address
90 RUSH ST, LEXINGTON, TN 38351-2241
(731) 968-8148
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
0000186694
TN
Other
Enumeration date
11/08/2021
Last updated
11/08/2021
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