Individual
JENNIFER P DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
318 LEE ST W STE 201, CHARLESTON, WV 25302-2136
(304) 345-7102
(304) 345-7101
Mailing address
318 LEE ST W STE 201, CHARLESTON, WV 25302-2136
(304) 345-7102
(304) 345-7101
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
A0169
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3404012000
—
WV
Enumeration date
04/13/2006
Last updated
08/25/2016
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