Most Relevant Information
Provider Data
| NPI Number: | 1003008475 |
| Provider Name: | JENNIFER KAY DAVIS NP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | RN057110 NP |
Most Important Dates
| Enumeration Date: | 08/09/2007 |
| Last Updated: | 06/23/2022 |
Provider Practice Location
901 CONNECTOR 206 N
DOUGLAS
GA
315337150
Practice Location Phone/Fax
| Phone: | 9123896885 |
| Fax: | 9123931015 |
Provider Mailing Location
PO BOX 1377
DOUGLAS
GA
315341377
Provider Mailing Phone/Fax
| Phone: | 9123891477 |
| Fax: |