| NPI | 1144763301 |
|---|---|
| Former Name | JERI DAVIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11002574) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH COA020211) |
| Enumeration Date | 2016-11-21 |
| Last Update Date | 2020-08-11 |