Individual
JAISA MICHELLE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7562 UPTON GREY LN, LINCOLN, NE 68516-5694
(402) 904-7433
Mailing address
1111 PENNSYLVANIA AVE, LINCOLN, NE 68521-8922
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
02/04/2025
Last updated
02/04/2025
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