Individual
KEIANA CASSANDRA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE BSN
Contact information
Practice address
199 LEASURE DR, PICKERINGTON, OH 43147-8000
(614) 218-4472
Mailing address
199 LEASURE DR, PICKERINGTON, OH 43147-8000
(142) 184-4722
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R256363
MD
163W00000X
Registered Nurse
RN500016856
DC
163W00000X
Registered Nurse
RN522043
OH
Other
Enumeration date
05/14/2019
Last updated
06/30/2024
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