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Individual

JAMIE DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6450 S US HIGHWAY 45, OSHKOSH, WI 54902-7629
(920) 379-4569
Mailing address
6450 S US HIGHWAY 45, OSHKOSH, WI 54902-7629

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
257705
WI
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
10/10/2023
Last updated
09/17/2025
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