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Individual

JEREMY P DAVIS

Active
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Individual

JEREMY P DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ACNP-BC

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP07028
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2318969
LA
01
AP07028
STATE LICENSE
LA
Enumeration date
10/16/2012
Last updated
08/12/2026
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