Individual
JAZMINE J DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
6300 E LAKE BLVD STE 101, VANCLEAVE, MS 39565-6771
(228) 215-2240
(228) 215-2241
Mailing address
6300 E LAKE BLVD STE 301, VANCLEAVE, MS 39565-6771
(228) 230-2663
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT7913
MS
Other
Enumeration date
04/29/2025
Last updated
04/29/2025
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