Individual
JILLIAN KEENE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25 W 68TH ST, APT 3H, NEW YORK, NY 10023-5302
(516) 663-2216
Mailing address
25 W 68TH ST, APT 3H, NEW YORK, NY 10023-5302
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
5629741
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
562974
NY
Other
Enumeration date
08/03/2010
Last updated
11/12/2024
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