Individual
JENNIFER A DAVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
108 S MAIN ST, HILLSBORO, KS 67063-1526
(620) 877-4305
(620) 877-4320
Mailing address
108 S MAIN ST, HILLSBORO, KS 67063-1526
(620) 877-4305
(620) 877-4320
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12345
KS
363A00000X
Physician Assistant
15-02468
KS
Other
Enumeration date
03/22/2021
Last updated
11/06/2024
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