Individual
MS. JENNIFER LYN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1300 SOUTH STREET, GLOBE, AZ 85501
(928) 792-6179
Mailing address
P.O. BOX 5, DUNCAN, AZ 85534-0005
(928) 792-6179
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
LP041267
AZ
Other
Enumeration date
04/28/2011
Last updated
04/28/2011
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