Individual
MR. JAY D DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
2505 GREEN TECH DR STE C, STATE COLLEGE, PA 16803-2316
(844) 237-6600
(814) 234-7587
Mailing address
1800 E PARK AVE, STATE COLLEGE, PA 16803-6701
(814) 231-7100
(814) 238-0790
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP023380
PA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
APRN.CNP.0038094
OH
Other
Enumeration date
08/05/2021
Last updated
12/11/2025
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