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Individual

JAMA BRADFORD DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
303 BANCARIO, SUITE 1, MARION, AR 72364-2825
(870) 739-8670
(870) 739-8706
Mailing address
30 BURTON HILLS BLVD, STE 175, NASHVILLE, TN 37215-6403
(615) 864-8703
(615) 864-7565

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A003724
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
193487758
AR
Enumeration date
06/28/2012
Last updated
12/09/2016
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