Individual
JESSICA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 MEDICAL CENTER DR STE 375, MIDDLETOWN, OH 45005-5180
(513) 420-3773
Mailing address
3772 GRANT AVE UNIT G, BEAVERCREEK, OH 45431-2098
(251) 725-3015
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.0033473
OH
Other
Enumeration date
05/10/2023
Last updated
05/10/2023
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