Individual
MRS. JESSICA ANTOINETTE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2538
(910) 450-4300
Mailing address
503 SONOMA RD, JACKSONVILLE, NC 28546-8446
(843) 338-0800
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001217667
VA
Other
Enumeration date
06/16/2014
Last updated
05/15/2015
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