Individual
MS. JESTINE ALEXANDRA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7850 TURNPIKE RD, RAEFORD, NC 28376-7380
(910) 747-3130
Mailing address
7850 TURNPIKE RD, RAEFORD, NC 28376-7380
(910) 747-3130
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/28/2020
Last updated
09/28/2020
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