Jessica S Davis is a Medical in Manitowoc, Wisconsin. Jessica S Davis practices all healthcare services and medical treatments related to Medical. The NPI Number for Jessica S Davis is 1013994011. The last update date is 2022-07-21.
Jessica S Davis's current location address is 801 York St, Manitowoc, Wisconsin. You can contact this provider via phone number 9206639008 and fax number 9206841439. The mailing address for Jessica S Davis is 801 York St, Manitowoc, Wisconsin. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jessica S Davis |
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Address | 801 York St, Manitowoc, Wisconsin |
Phone Number | 9206639008 |
Fax Number | 9206841439 |
Sole Proprietor | N |
Credentials | PA-C |
NPI Number Detail
NPI Number | 1013994011 |
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Provider Enumeration Date | 2005-12-30 |
Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
Address | 801 York St |
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City | Manitowoc |
State | Wisconsin (WI) |
Post Code | 542204630 |
Phone Number | 9206639008 |
Fax Number | 9206841439 |
Provider's Primary Taxonomy Detail
Speciality | Medical |
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Taxonomy | 363Am0700X |
Licence No | PA431 |
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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What is the unique 10-digit identification code issued to Jessica S Davis by the Centers for Medicare & Medicaid Services?
The Jessica S Davis has been assigned the NPI (National Provider Identifier) 1013994011 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Jessica S Davis's physical address?
The Jessica S Davis is physically located at 801 York St, in the city of Manitowoc, WI, with the postal code 542204630.
What is the area of specialization for Jessica S Davis, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jessica S Davis is Medical, and the corresponding taxonomy code that categorizes this area of expertise is 363Am0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1013994011 to Jessica S Davis?
The Centers for Medicare & Medicaid Services originally issued the 1013994011 to Jessica S Davis on 2005-12-30.
When was the Jessica S Davis's information last updated?
The Jessica S Davis's information was last updated on 2022-07-21.