MRS. Jacqueline June Davis, NURSE PRACTITIONER

NPI #1972886943 in Moraine, Ohio

Provider Information

NPI Number
1972886943
Entity Type
Individual
Name
MRS. Jacqueline June Davis, NURSE PRACTITIONER
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Family
Credential
NURSE PRACTITIONER
Enumeration Date
Sep 26, 2011
Last Updated
Dec 5, 2012

Practice Location

Address
2912 SPRINGBORO RD
State
Ohio
ZIP Code
45439-1674
Phone
(937) 297-8999

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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