Individual
JILL DAVISSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5820 TOWNSHIP ROAD 39 NW, SOMERSET, OH 43783-9792
(740) 621-1105
Mailing address
5820 TOWNSHIP ROAD 39 NW, SOMERSET, OH 43783-9792
(740) 621-1105
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F09151224
OH
363LF0000X
Family Nurse Practitioner
F09151224
OH
Other
Enumeration date
10/14/2015
Last updated
09/19/2022
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