Individual
JORDAN CELINE DAVIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1424 GENESEE ST, UTICA, NY 13502-5192
(315) 724-6146
Mailing address
1850 HOLMAN CITY RD, CLAYVILLE, NY 13322-1406
(315) 941-6297
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F353278-01
NY
Other
Enumeration date
03/06/2024
Last updated
03/06/2024
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