Individual
JAMIE L DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
7777 FOREST LN, DALLAS, TX 75230-2571
(972) 207-8039
Mailing address
7777 FOREST LN, DALLAS, TX 75230-2571
(972) 207-8039
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP135707
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1063925329
NPI
TX
01
—
718491
REGISTERED NURSE
TX
Enumeration date
11/08/2017
Last updated
09/09/2022
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