Individual
MRS. HEATHER JO DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
375 DIXMYTH AVE, CINCINNATI, OH 45220-2475
(513) 862-2514
(513) 862-4189
Mailing address
375 DIXMYTH AVE, CINCINNATI, OH 45220-2475
(513) 862-2514
(513) 862-4189
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
222688
LA
363LN0000X
Neonatal Nurse Practitioner
Primary
COA.10175-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
222688
STATE LICENSE
LA
05
—
2574736
—
LA
Enumeration date
01/07/2009
Last updated
04/26/2022
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