Individual
MRS. JENNIFER H DAVISSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1010 CARONDELET DRIVE, SUITE 125, KANSAS CITY, MO 64114-2846
(816) 942-1150
(816) 942-0322
Mailing address
4601 W 109TH ST, SUITE 116, OVERLAND PARK, KS 66211-1313
(913) 469-1115
(913) 469-9446
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1500993
KS
Other
Enumeration date
09/19/2006
Last updated
07/13/2021
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