Individual
JAMIE LYNN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
57 INDUSTRIAL PARK RD, LUCEDALE, MS 39452-6583
(601) 947-4274
Mailing address
3407 SHAMROCK CT, GAUTIER, MS 39553-5337
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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