Jessica Lynn Davis
Nurse Practitioner - Critical Care Medicine
2025 Ford Ave
Wyandotte
, Michigan 48192-2312
Jessica Lynn Davis
Nurse Practitioner - Critical Care Medicine
2025 Ford Ave
Wyandotte
, Michigan 48192-2312
(734) 281-8815
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About
Features
Specialties
- Nurse Practitioner - Critical Care Medicine
Languages spoken
- English
Location
First Address
- Jessica Lynn Davis
- 2025 Ford Ave
- Wyandotte, MI
- Zip : 48192-2312
- Fax : (734) 281-8815
- Phone : (734) 281-3080
Second Address
- Jessica Lynn Davis
- 2025 Ford Ave
- Wyandotte, MI
- Zip : 48192-2312
- Fax : (734) 281-8815
- Phone : (734) 281-3080
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 4704245661 | MI |
National Provider Identifier
| NPI | 1003142118 |
|---|---|
| Provider Name | Jessica Lynn Davis |
| First Address | Wyandotte, MI 48192-2312 |
| Second Address | Wyandotte, MI 48192-2312 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/10/2009 |
| Last Update Date | 15/03/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.