Individual
MRS. JENNIFER DAWN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
213 JOE MAC DR, STONEWALL, LA 71078-2837
(318) 347-7415
Mailing address
213 JOE MAC DR, STONEWALL, LA 71078-2837
(318) 347-7415
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN104154
LA
Other
Enumeration date
08/17/2023
Last updated
09/11/2024
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