Individual
JENNA L DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
115 BLARNEY DR STE 109, COLUMBIA, SC 29223-6291
(803) 462-9200
(803) 699-1474
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26655
SC
Other
Enumeration date
10/03/2022
Last updated
10/25/2023
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