Individual
JORDAN NICHOLE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
7035 PICKWELL DR APT 2100, SAN ANTONIO, TX 78223-3385
(210) 391-4495
Mailing address
7035 PICKWELL DR APT 2100, SAN ANTONIO, TX 78223-3385
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
881494
TX
Other
Enumeration date
02/27/2020
Last updated
02/27/2020
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