Doctor Name: | KENDRA LAWSON DAVIS |
NPI Number: | 1073705950 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APN |
License Number: | 26NJ00130600 |
Business Practice Address: | 1907 New Rd Northfield, NJ - 082251545 |
Business Phone Number: | 6096458884 |
Business Fax Number: | 6096459780 |
Mailing Address: | 1907 New Road, NORTHFIELD |
State: | NJ |
Postal Code: | 082251544 |
Phone Number: | 6096458884 |
Fax Number: | 6096459780 |
NPI Enumeration Date: | 08/14/2007 |
NPI Last Update Date: | 08/14/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 26NJ00130600 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |