Individual
JEANNETTE DELRENE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
525 LILLY RD NE, OLYMPIA, WA 98506-5101
(360) 493-7230
(360) 493-4180
Mailing address
525 LILLY RD NE, OLYMPIA, WA 98506-5101
(360) 493-7230
(360) 493-4180
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP30003459
WA
363L00000X
Nurse Practitioner
RN00069915
WA
Other
Enumeration date
08/02/2005
Last updated
11/10/2021
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