Healthcare Provider Details

I. General information

NPI: 1083607675
Provider Name (Legal Business Name): JENNIFER KENT DAVIS PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/30/2005
Last Update Date: 12/17/2024
Certification Date: 12/17/2024
Deactivation Date: 03/23/2006
Reactivation Date: 04/03/2006

III. Provider practice location address

4000 JOHNSON RD
STEUBENVILLE OH
43952-2364
US

IV. Provider business mailing address

4800 FRIENDSHIP AVE
PITTSBURGH PA
15224-1722
US

V. Phone/Fax

Practice location:
  • Phone: 740-264-8232
  • Fax:
Mailing address:
  • Phone: 412-605-6389
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number0202205727
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License NumberRPH021927
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: