Individual
JENNIFER JAMIE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1323 N 113TH PLZ APT 5222, OMAHA, NE 68154-5831
(402) 719-5400
Mailing address
1323 N 113TH PLZ APT 5222, OMAHA, NE 68154-5831
(402) 719-5400
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2855
NE
Other
Enumeration date
11/21/2022
Last updated
02/23/2023
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