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NPI Code Detail

MEDICARE: JANIENE R DAVIS

MEDICARE:   JANIENE R DAVIS
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
1376K00000XNurse's Aide

General Provider Information

NPI Number : 1902578958
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANIENE R DAVIS
Provider Business Mailing Address
First Line : 118 SARICH ST
Second Line :
City : POWHATAN PT
State : OH
Zip : 43942-1116
Country : US
Telephone Number : 740-359-9150
Fax Number :
Provider Business Practice Location Address
First Line : 118 SARICH ST
Second Line :
City : POWHATAN PT
State : OH
Zip : 43942-1116
Country : US
Telephone Number : 740-359-9150
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2021
Last Update Date : 09/29/2021

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Directions to “ JANIENE R DAVIS ” Practice Location

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