Jolynn Renee Davis, R.N.
Individual provider Active NPI Registered Nurse · Fort Washakie, WY
NPI 1043481211 · NPPES record last updated Mar 17, 2008
Key facts
- NPI
- 1043481211
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 11208 (WY)
- Practice address
- 29 Black Coal Drive
Fort Washakie, WY 82514 - Phone
- (307) 335-5963
- Fax
- (307) 332-7464
- NPI assigned
- Mar 17, 2008
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11208 | WY | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 11208 | WY | Yes |
Addresses
Primary practice location
29 Black Coal Drive
Fort Washakie, WY 82514
Mailing address
1010 S 3Rd St
Lander, WY 82520-3908
Phone (307) 332-2569
Other providers in Fort Washakie, WY
- Kim E Clemetson
- Angela M Crane
- Michelle June Crispin
- Corey Shane Dahl
- Holly Ann Daverin
- Dehning Jo Dehning
- Doya Natsu Healing Center- Eastern Shoshone Tribe
- Susan J Duncan
- Early Intervention Program
- Early Intervention Program
All providers in Fort Washakie, WY · Registered Nurse in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.