Individual
MISS JESSICA TAMAR DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
540 W PUEBLO ST, SANTA BARBARA, CA 93105-4230
(805) 879-0670
Mailing address
PO BOX 62106, SANTA BARBARA, CA 93160-2106
(805) 681-1760
(805) 681-1768
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
10091
CO
363L00000X
Nurse Practitioner
Primary
12652
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
87053314
—
CO
Enumeration date
08/26/2008
Last updated
04/22/2024
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