| Doctor Name: | MS. JILL LYNN DAVIS |
| NPI Number: | 1811259526 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CCC/SLP |
| License Number: | SA5697 |
| Business Practice Address: | 6150 Diamond Centre Ct Suite 203 Fort Myers, FL - 339124368 |
| Business Phone Number: | 2394823154 |
| Business Fax Number: | 2394823254 |
| Mailing Address: | 21205 Braxfield Loop, ESTERO |
| State: | FL |
| Postal Code: | 339283242 |
| Phone Number: | 2394044717 |
| Fax Number: | |
| NPI Enumeration Date: | 06/10/2012 |
| NPI Last Update Date: | 06/10/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SA5697 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |