Jessica S Davis in Manitowoc - Medical

Jessica S Davis - NPI 1013994011

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
Address 801 York St, Manitowoc, Wisconsin
Phone Number 9206639008
Fax Number 9206841439
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1013994011
Provider Enumeration Date 2005-12-30
Last Updated Date 2022-07-21

Provider Mailing Address Detail

Address 801 York St
City Manitowoc
State Wisconsin (WI)
Post Code 542204630
Phone Number 9206639008
Fax Number 9206841439

Provider's Primary Taxonomy Detail

Speciality Medical
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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FAQs about Jessica S Davis

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.

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