Jennifer Mary Davis
Individual provider Active NPI Nurse's Aide · Wellston, OH
NPI 1306177449 · NPPES record last updated Jan 28, 2010
Key facts
- NPI
- 1306177449
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse's Aide 376K00000X
- Practice address
- 155 Garfield Rd
Wellston, OH 45692-9746 - Phone
- (740) 577-1904
- NPI assigned
- Jan 28, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | |||
| Nurse's Aide | 376K00000X | Yes |
Addresses
Primary practice location
155 Garfield Rd
Wellston, OH 45692-9746
Mailing address
155 Garfield Rd
Wellston, OH 45692-9746
Phone (740) 577-1904
Other providers in Wellston, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 28, 2010. 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.