| NPI | 1700407756 |
|---|---|
| Former Name | JENNIFER LYNN DAVIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: WV 115196) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704273837) |
| Enumeration Date | 2020-04-30 |
| Last Update Date | 2024-02-02 |