Individual
JENNIFER DIANE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
462 ELMA G MILES PKWY, HINESVILLE, GA 31313-4000
(912) 369-9400
Mailing address
302 SAINT JOHNS RD, HINESVILLE, GA 31313-5829
(912) 294-2212
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN215161
GA
Other
Enumeration date
01/21/2022
Last updated
01/21/2022
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