Individual
JESSICA LYNN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
1221 S CLEARVIEW PKWY, NEW ORLEANS, LA 70121-1011
(903) 736-9071
Mailing address
1002 W UNIVERSITY AVE APT 32, HAMMOND, LA 70401-1323
(903) 736-9071
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
307128
LA
Other
Enumeration date
09/17/2017
Last updated
03/17/2018
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