Individual
JENNIFER LYNN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 615-5858
Mailing address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 615-5858
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
SP013658
PA
363LG0600X
Gerontology Nurse Practitioner
Primary
SP013658
PA
Other
Enumeration date
04/24/2014
Last updated
10/24/2019
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