Individual
ELIZABETH JADE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
409 SE GREENVILLE AVE, WINCHESTER, IN 47394-9464
(765) 584-0480
(765) 584-0470
Mailing address
403 E ELM ST, WINCHESTER, IN 47394-2211
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71016224A
IN
Other
Enumeration date
09/30/2024
Last updated
03/25/2025
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