Individual
JENNIFER M DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8008 WESTPARK DR, KAISER PERMANENTE TYSONS CORNER MEDICAL CENTER, MC LEAN, VA 22102-3109
(703) 287-6400
Mailing address
8008 WESTPARK DR, KAISER PERMANENTE TYSONS CORNER MEDICAL CENTER, MC LEAN, VA 22102-3109
(703) 287-6400
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101253379
VA
207P00000X
Emergency Medicine Physician
D0078516
MD
207P00000X
Emergency Medicine Physician
MD042730
DC
Other
Enumeration date
05/23/2009
Last updated
06/03/2021
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