Individual
JENNIFER LEIGH DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 7TH ST SE, DECATUR, AL 35601-3337
(256) 973-2175
Mailing address
1201 7TH ST SE, DECATUR, AL 35601-3337
(256) 973-2175
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-174117
AL
247100000X
Radiologic Technologist
368880
—
363LF0000X
Family Nurse Practitioner
Primary
1-174117
AL
Other
Enumeration date
04/06/2020
Last updated
05/28/2022
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