Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNIFER A DAVIS
ActiveJENNIFER A DAVIS is a Gerontological Nurse Practitioner healthcare provider located in WAUPUN, Wisconsin. NPI 1619490711 is currently active in the NPPES registry. Verify at CMS.
Gerontological Nurse Practitioner · WAUPUN, WI
Registration Details
- NPI Number
- 1619490711
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 20, 2017 (9.0242890235086 yrs)
- Last Updated
- Oct 10, 2023
- Licenses
-
7769 (WI)7769 (WI)
Practice Information
- Address
-
160 GATEWAY DRWAUPUN, WI, 539632276Browse WI providers · Browse ZIP 53963
- Phone
- 9203249899
- Primary Specialty
-
Gerontological Nurse Practitioner
363LG0600X
- Additional Specialty
- Gerontological Nurse Practitioner
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.