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Individual

MRS. AMMY HUTTON DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP

Contact information

Practice address
514H E WOODROW WILSON AVE, JACKSON, MS 39216-4538
(601) 713-3900
(601) 713-3970
Mailing address
1224 BARNETT BEND DR, BRANDON, MS 39047-7600
(601) 259-2033

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
AP09490
LA
363LP0200X
Pediatric Nurse Practitioner
Primary
R878833
MS

Other

Enumeration date
02/25/2015
Last updated
09/19/2017
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