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Dr. Jacqueline Violet Davis
Gerontology Nurse Practitioner in Freeport, New York
NPI 1710687678

Jacqueline Violet Davis is a Gerontology Nurse Practitioner based in Freeport, NY and is specialized in Gerontology. Jacqueline Violet Davis practices in Freeport, NY. The NPI Number for Jacqueline Violet Davis is 1710687678 and holds a License No. 582057-1 (New York).

The current practice location address for Jacqueline Violet Davis is 642 Miller Ave, Freeport, NY and can be reached out via phone at 347-610-6206.

Location: 642 Miller Ave, Freeport, NY, 11520-6313
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710687678
Provider Name
Jacqueline Violet Davis
Credential
Provider Entity Type
Individual
Gender
Female
Address
642 Miller Ave, Freeport, NY, 11520-6313
Phone Number
347-610-6206
Fax Number
Provider Enumeration Date
03/08/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
642 Miller Ave
City
Freeport
State
New York
Zip
11520-6313
Phone Number
347-610-6206
Fax Number
person
Provider Business Mailing Address Details
Address
642 Miller Ave
City
Freeport
State
New York
Zip
11520-6313
Phone Number
347-610-6206
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
363LG0600X
License No.
582057-1 (New York)
Definition
Definition to come...
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