Davis, Juanita

Davis, Juanita is an individual health care provider with primary practice located at 1677 E Main St , Bridgeport CT 06608-1155. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Davis, Juanita can be contacted via phone (475) 549-1822.

Contact Information

Primary practice address
1677 E Main St Bridgeport CT 06608-1155
Phone: (475) 549-1822
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 12834 Connecticut

Profile Details

NPI number 1609625276
LBN Legal business name Davis, Juanita
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2024
Last updated May 16th, 2024 - about 2 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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