| NPI | 1821171786 |
|---|---|
| Other Name | JAN WAYMENT DAVIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: UT 206166-4408) |
| Additional Taxonomies | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: UT 206166-3102) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2010-01-14 |