Individual
JACOB BAILEY DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
1002 E MADISON ST, HOUSTON, MS 38851-2428
(662) 456-3700
Mailing address
346 COUNTY ROAD 288, GRENADA, MS 38901
(662) 897-4423
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
907478
MS
Other
Enumeration date
06/09/2025
Last updated
07/04/2025
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