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Individual

JASMINE DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AGPCNP-C

Contact information

Practice address
2100 COMER AVE, COLUMBUS, GA 31904-8725
(706) 321-6300
Mailing address
2100 COMER AVE, COLUMBUS, GA 31904-8725
(706) 321-6300

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN211517
GA
363LA2200X
Adult Health Nurse Practitioner
RN211517
GA
363LG0600X
Gerontology Nurse Practitioner
RN211517
GA
363LP2300X
Primary Care Nurse Practitioner
RN211517
GA

Other

Enumeration date
05/23/2016
Last updated
05/23/2016
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