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Individual

JENNIFER MICHELLE DAVIDSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
853 JEFFERSON AVE STE 201, MEMPHIS, TN 38103
(901) 448-5950
Mailing address
1068 CRESTHAVEN RD STE 300, MEMPHIS, TN 38119-0809

Taxonomy

Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
2713
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
05188531
MS
05
1659638310
MO
05
210036003
AR
05
7100589420
KY
05
Q008515
TN
Enumeration date
04/19/2012
Last updated
02/25/2025
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