Individual
JANE C DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1 MEDICAL CENTER BLVD STE C, LUFKIN, TX 75904
(903) 592-6000
(903) 592-3224
Mailing address
PO BOX 6605, TYLER, TX 75711-6605
(903) 592-6000
(903) 363-1542
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP137155
TX
Other
Enumeration date
03/26/2018
Last updated
01/30/2019
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