Individual
JHENNELL DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Credential
MSN, APRN, AGNP-C
Contact information
Practice address
125 RICKEY BLVD UNIT 1471, BEAR, DE 19701-8662
(302) 440-4353
Mailing address
125 RICKEY BLVD UNIT 1471, BEAR, DE 19701-8662
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
L1-0051892
DE
Other
Enumeration date
03/13/2026
Last updated
03/13/2026
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