JENNIFER DAVIS

Nurse Practitioner - Gerontology

Active Individual
NPI: 1619490711

Practice Address

160 GATEWAY DR
Waupun, WI 53963

Phone: (920) 324-9899

Specialties

Specialty Code Primary License
Nurse Practitioner 363L00000X No 7769 (WI)
Nurse Practitioner - Gerontology 363LG0600X Yes 7769 (WI)

Frequently Asked Questions

NPI 1619490711 is the National Provider Identifier for JENNIFER DAVIS, a Nurse Practitioner - Gerontology provider located in Waupun, WI. This NPI was enumerated on July 20, 2017.
JENNIFER DAVIS practices at 160 GATEWAY DR, Waupun, WI 53963.

Quick Facts

NPI
1619490711
Type
Individual
Enumerated
Jul 20, 2017
Last Updated
Oct 10, 2023

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