Individual provider · Type 1 NPI
Jessicah Amber Davis, NNP
Neonatal Nurse Practitioner · Fort Worth, TX
NPI number
1225342363
Active
Practice location
1400 8th Ave, CN362 Neonatology Office
Fort Worth, TX 76104-4110
Fax (817) 922-2327
Mailing address
1000 Andrew St
Burleson, TX 76028-8116
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Neonatal Nurse Practitioner Primary | 363LN0000X | 676075 (TX) |
Neonatal Nurse Practitioner: Definition to come...
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About NPI 1225342363
Jessicah Amber Davis, NNP's National Provider Identifier is 1225342363, issued on Jul 30, 2010. The primary taxonomy on file is Neonatal Nurse Practitioner (363LN0000X), and the practice location is in Fort Worth, TX. The record was last updated on Jul 30, 2010.