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Individual

JESSIKA DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
16 MEDICAL PARK DR, ASHEVILLE, NC 28803-2493
(828) 274-4880
Mailing address
16 MEDICAL PARK DR, ASHEVILLE, NC 28803-2493
(828) 274-4880

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
036151708
IL
207N00000X
Dermatology Physician
Primary
2022-02425
NC
207N00000X
Dermatology Physician
64363
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1316391410
NPI
Enumeration date
04/15/2016
Last updated
02/22/2023
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