Individual provider · Type 1 NPI
Jennifer A. Davis
Gerontology Nurse Practitioner · Waupun, WI
NPI number
1619490711
Active
Practice location
160 Gateway Dr
Waupun, WI 53963-2276
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 7769 (WI) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | 7769 (WI) |
Gerontology Nurse Practitioner: Definition to come...
3 other providers at this address
About NPI 1619490711
Jennifer A. Davis's National Provider Identifier is 1619490711, issued on Jul 20, 2017. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Waupun, WI. The record was last updated on Oct 10, 2023.