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General NPI Number Information
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NPI Number | 1770877623
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Entity Type | Individual
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Provider Name | JAWANNER LEMEASHA DAVIS FNP
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Gender | Female
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Dates
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Enumeration Date | 06/07/2011
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Last Update Date | 12/31/2025
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Provider Practice Location Address
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Address Line | 111 N ORANGE AVE STE 800
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City | ORLANDO
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State | FL
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Zip | 32801-2381
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Country | US
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Telephone | 899-488-8731
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Fax |
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Provider Business Mailing Address
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Address Line | 3381 JOHN MICHAEL DR
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City | SOUTHAVEN
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State | MS
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Zip | 38672-8513
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Country | US
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Telephone | 601-329-6595
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 878053
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 18780
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 30479
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License Number State | SC
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 53-81131-012
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License Number State | KS
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R878053
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License Number State | MS
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Taxonomy #6
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | A004567
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License Number State | AR
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Taxonomy #7
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 5016836
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License Number State | NC
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