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Individual

MR. JASON DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ARNP

Contact information

Practice address
5455 ALMIRA DR NE, BREMERTON, WA 98311-8330
(360) 405-4010
Mailing address
5455 ALMIRA DR NE, BREMERTON, WA 98311-8330
(360) 405-4010

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60287540
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP60630465
WA

Other

Enumeration date
12/28/2015
Last updated
03/14/2016
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