Individual
JESSICA NEWSOME DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3675 J DEWEY GRAY CIR STE 300, AUGUSTA, GA 30909-1868
(706) 863-9595
Mailing address
PO BOX 3726, AUGUSTA, GA 30914-3726
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN225709
GA
Other
Enumeration date
06/10/2021
Last updated
06/10/2021
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