Search › Vermont › 163WL0100X
Jennifer Davis, R.N., IBCLC
NPI 1164842399 · on the registry since 2014 · sole proprietor
Practice
- Address
- 12 Prospect Ave
Randolph, VT 05060 - Phone
- (802) 728-4105
Registry record
- Primary taxonomy
- 163WL0100X
163WL0100X
- Also registered as
- 163WL0100X
- Licence states on file
- VT, NH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-04-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Vermont