Individual
MRS. JANELLE A DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, ATC
Contact information
Practice address
612 KINGSBOROUGH SQ STE 300, CHESAPEAKE, VA 23320-5055
(757) 609-3380
Mailing address
1900 MERANO LN, CHESAPEAKE, VA 23322-4446
(860) 987-8075
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
0126002804
VA
363A00000X
Physician Assistant
Primary
0110012137
VA
Other
Enumeration date
06/29/2017
Last updated
08/05/2026
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