Individual
JENNIFER DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
2003 COBB ST, FARMVILLE, VA 23901-2603
(208) 380-3762
Mailing address
10018 SCOTTS RD, DEWITT, VA 23840-2016
(208) 380-3762
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024191150
VA
Other
Enumeration date
09/07/2024
Last updated
09/07/2024
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