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1871217935
JENNA L DAVIS
COLUMBIA, SC
NPI
1871217935
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: SC 26655)
Enumeration Date
2022-10-03
Last Update Date
2023-10-25
Business Address
JENNA L DAVIS
115 BLARNEY DR STE 109
COLUMBIA, SC 29223-6291
Phone number: 803-462-9200
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Mailing Address
JENNA L DAVIS
300 E MCBEE AVE FL 4
GREENVILLE, SC 29601-2842
Phone number: 864-522-8603
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