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NPI Code Detail

MEDICARE: MS. JENNIFER L DAVIS ARNP-C

MEDICARE: MS. JENNIFER L DAVIS ARNP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LX0001XObstetrics & Gynecology Nurse PractitionerARNP3090432FL
2363LA2200XAdult Health Nurse PractitionerARNP3090432FL

General Provider Information

NPI Number : 1124144993
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JENNIFER L DAVIS ARNP-C
Provider Business Mailing Address
First Line : 3464 AVALON PARK EAST BLVD
Second Line :
City : ORLANDO
State : FL
Zip : 32828-7363
Country : US
Telephone Number : 407-302-3115
Fax Number : 321-203-4602
Provider Business Practice Location Address
First Line : 3464 AVALON PARK EAST BLVD
Second Line :
City : ORLANDO
State : FL
Zip : 32828-7363
Country : US
Telephone Number : 407-302-3115
Fax Number : 321-203-4602
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2007
Last Update Date : 05/28/2020

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