Individual
MRS. JESSICAH AMBER DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
1400 8TH AVE, CN362 NEONATOLOGY OFFICE, FT WORTH, TX 76104-4110
(817) 927-6252
(817) 922-2327
Mailing address
1000 ANDREW ST, BURLESON, TX 76028-8116
(817) 426-0601
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
676075
TX
Other
Enumeration date
07/30/2010
Last updated
07/30/2010
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