Individual
JENNIFER STARR DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2220 SE OCEAN BLVD STE 301, STUART, FL 34996-3301
(772) 220-3339
(772) 286-2635
Mailing address
2336 SE OCEAN BLVD STE 145, STUART, FL 34996-3310
(772) 220-3339
(772) 286-2635
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
4357
AZ
363A00000X
Physician Assistant
Primary
9104207
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01165507
RR MEDICARE
FL
01
—
Y04VT
FLORIDA BLUE (BCBS OF FL)
FL
Enumeration date
08/08/2007
Last updated
07/27/2024
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