Jennise Olivia Davis

NPI #1194032417 in Rego Park, New York

Provider Information

NPI Number: 1194032417
Entity Type: Individual
Name: Jennise Olivia Davis
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Registered Nurse
Enumeration Date: Sep 8, 2010
Last Updated: Sep 8, 2010

Practice Location

Address: 9715 64TH RD
City: Rego Park
State: New York
ZIP Code: 11374-2250
Phone: (718) 459-5592

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary

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