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Jacqueline Davis, NURSE PRACTITIONER
NPI 1972886943 · on the registry since 2011
Practice
- Address
- 2912 Springboro Rd
Moraine, OH 45439 - Phone
- (937) 297-8999
- Fax
- (937) 277-8618
- Organisation at this address
- Providence Medical Group
Providence Health Partners
Providence Medical Group, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- Family Nurse Practitioner
363LF0000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-12-05
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 Ohio