Individual
JAN WAYMENT DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
5290 S 400 E, OGDEN, UT 84405-7194
(801) 476-1777
(801) 479-1479
Mailing address
5860 W 1400 N, OGDEN, UT 84404-9023
(801) 391-7506
(801) 731-4652
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
206166-3102
UT
363LA2100X
Acute Care Nurse Practitioner
Primary
206166-4408
UT
Other
Enumeration date
10/23/2006
Last updated
01/14/2010
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