JACQUELINE DAVIS

JEFFERSONVILLE, IN
NPI1871813550
Other NameJACQUELINE LANHAM
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: KY  3006612)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: IN  71003616A)
363L00000X Nurse Practitioner
(Licence: KY  49086)
363LF0000X Nurse Practitioner, Family
(Licence: KY  3006612)
Enumeration Date2010-06-04
Last Update Date2017-06-01
Business Address
-- JACQUELINE DAVIS APRN
1804 E 10TH ST
JEFFERSONVILLE, IN 47130-6016
Phone number: 812-288-2488
Mailing Address
-- JACQUELINE DAVIS APRN
200 CLINIC DRIVEV
MADISONVILLE, KY 42431-1661
Phone number: 270-824-3682