Individual provider · Type 1 NPI
Jennifer Lynn Davis, CRNP
Gerontology Nurse Practitioner · Philadelphia, PA
NPI number
1609296003
Active
Practice location
3400 Spruce St
Philadelphia, PA 19104-4238
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | SP013658 (PA) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | SP013658 (PA) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1609296003
Jennifer Lynn Davis, CRNP's National Provider Identifier is 1609296003, issued on Apr 24, 2014. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Philadelphia, PA. The record was last updated on Oct 24, 2019.