Individual
JENNIFER SUE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN, PMHNP-BC
Contact information
Practice address
525 E 15TH ST, PANAMA CITY, FL 32405-5400
(850) 522-4485
Mailing address
525 E 15TH ST, PANAMA CITY, FL 32405-5412
(231) 499-8099
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN9510809
FL
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11004531
FL
Other
Enumeration date
07/30/2019
Last updated
02/13/2020
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