| Doctor Name: | MS. JENNIFER MARIE DAVIS |
| NPI Number: | 1982880779 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSED., LIMHP |
| License Number: | 8510 |
| Business Practice Address: | 102 N 5th St Doniphan, NE - 688329810 |
| Business Phone Number: | 3083807700 |
| Business Fax Number: | |
| Mailing Address: | 102 N 5th St, P.o. Box 25 DONIPHAN |
| State: | NE |
| Postal Code: | 688329810 |
| Phone Number: | 3083807700 |
| Fax Number: | |
| NPI Enumeration Date: | 01/11/2008 |
| NPI Last Update Date: | 04/07/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 8510 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |