Individual
JENNIFER DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4500 S LANCASTER RD, DALLAS, TX 75216-7167
(800) 849-3597
Mailing address
PO BOX 2311, WAIANAE, HI 96792-8311
(808) 291-4835
Taxonomy
Speciality
Code
Description
License number
State
163WH1000X
Hospice Registered Nurse
Primary
32928
HI
Other
Enumeration date
06/11/2010
Last updated
06/11/2010
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