Individual provider · Type 1 NPI
Jerry Wayne Davis, CRNA
Critical Access Hospital · Nederland, TX
NPI number
1356357495
Active
Practice location
2715 Avenue N
Nederland, TX 77627-7814
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Critical Access Hospital Primary | 282NC0060X | 565508 (TX) |
Critical Access Hospital: Definition to come.
About NPI 1356357495
Jerry Wayne Davis, CRNA's National Provider Identifier is 1356357495, issued on Jul 31, 2006. The primary taxonomy on file is Critical Access Hospital (282NC0060X), and the practice location is in Nederland, TX. The record was last updated on Jul 8, 2007.