Individual
JAMIE V DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2500 N STATE ST. UNIVERSITY PHYSICIANS, DEPARTMENT OF MEDICINE DIVISION OF NEPHROLOGY, JACKSON, MS 39216-4500
(601) 984-5681
Mailing address
2500 NORTH STATE STREET, UNIVERSITY PHYSICIANS, JACKSON, MS 39216
(601) 984-5681
(601) 984-6439
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R852167
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06772519
—
MS
05
—
139491
—
MS
Enumeration date
07/09/2012
Last updated
04/09/2014
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