Doctor Name: | JENNY DAVIS |
NPI Number: | 1104173632 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | CNP121060 |
Business Practice Address: | 7 School St Albion, ME - 04910 |
Business Phone Number: | 2074379388 |
Business Fax Number: | 2074372557 |
Mailing Address: | 7 School St, ALBION |
State: | ME |
Postal Code: | 04910 |
Phone Number: | 2074379388 |
Fax Number: | 2074372557 |
NPI Enumeration Date: | 08/15/2012 |
NPI Last Update Date: | 08/15/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | CNP121060 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |