Individual
JESSIKA DAVIS
Active
Individual
JESSIKA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
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
Update your record
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