Individual
JENNIFER DAVISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, CRNP, AGNP-C
Contact information
Practice address
200 LOTHROP ST, PITTSBURGH, PA 15213-2536
(412) 699-7773
Mailing address
200 LOTHROP ST, SUITE 10055B, PITTSBURGH, PA 15213-2536
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
SP015584
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1030705300002
—
PA
Enumeration date
12/08/2015
Last updated
02/14/2022
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