Davis, Jennifer L

Davis, Jennifer L is an individual health care provider with primary practice located at 6160 S Yale Ave , Tulsa OK 74136-1930. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Davis, Jennifer L can be contacted via phone (918) 495-2600.

Contact Information

Primary practice address
6160 S Yale Ave Tulsa OK 74136-1930
Phone: (918) 495-2600
Fax: (918) 497-3007
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9107151 Florida
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA1007 Oklahoma

Profile Details

NPI number 1376528901
LBN Legal business name Davis, Jennifer L
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2005
Last updated Apr 2nd, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376528901 NPPES
Nevada MEDICAID 1376528901
Nevada Other V113936
Nevada Other P00946910

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