Individual
JESSI DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
415 S LOBBAN AVE, BUFFALO, WY 82834-1920
(605) 430-7777
Mailing address
415 S LOBBAN AVE, BUFFALO, WY 82834-1920
(605) 430-7777
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
34534
WY
Other
Enumeration date
09/13/2023
Last updated
09/13/2023
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