Individual
MS. JAMIE ANN DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1536 CRESTWOOD BLVD, SOUTH BEND, IN 46635-1917
(574) 360-2619
Mailing address
1536 CRESTWOOD BLVD, SOUTH BEND, IN 46635-1917
(574) 360-2619
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
28173970A
IN
Other
Enumeration date
10/03/2012
Last updated
06/26/2015
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