Individual
JENNIFER K DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1015 SUMMIT ST, ELGIN, IL 60120-4362
(847) 742-6888
Mailing address
1015 SUMMIT ST, ELGIN, IL 60120-4362
(847) 742-6888
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
041332139
IL
Other
Enumeration date
10/22/2010
Last updated
01/13/2022
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