Individual
JANE ANN WILLIAMSON-DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1100 F AVE, DOUGLAS, AZ 85607-1919
(520) 364-3285
(520) 364-4261
Mailing address
1205 F AVE, DOUGLAS, AZ 85607-1920
(520) 364-1429
(520) 364-4261
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP3125
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
372620
—
AZ
Enumeration date
09/12/2008
Last updated
03/18/2015
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