Individual
JAZLYNN N DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1315 MISTY RIVER DR, FORT WAYNE, IN 46808-2991
(260) 452-0521
Mailing address
1315 MISTY RIVER DR, FORT WAYNE, IN 46808-2991
(260) 452-0521
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/07/2023
Last updated
12/07/2023
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