Individual
JERI DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
50 E STATE ST, FARMINGTON, UT 84025-2343
(801) 451-3317
(801) 451-3144
Mailing address
PO BOX 618, FARMINGTON, UT 84025-0618
(801) 451-3317
(801) 451-3144
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2142543102
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
22684
—
UT
Enumeration date
05/08/2007
Last updated
07/08/2007
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