| Doctor Name: | JENNIFER KAY DAVIS |
| NPI Number: | 1003008475 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | RN057110 NP |
| Business Practice Address: | 1400 Peterson Ave N Suite C Douglas, GA - 315332832 |
| Business Phone Number: | 9123844000 |
| Business Fax Number: | 9123844029 |
| Mailing Address: | 901 Connector 206 N, Suite C DOUGLAS |
| State: | GA |
| Postal Code: | 315337150 |
| Phone Number: | 9123896885 |
| Fax Number: | |
| NPI Enumeration Date: | 08/09/2007 |
| NPI Last Update Date: | 01/07/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | RN057110 NP |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |