person
Mrs. Jacqueline June Davis, NURSEPRACTITIONER
Family Nurse Practitioner in Moraine, Ohio
NPI 1972886943

Jacqueline June Davis is a Family Nurse Practitioner based in Dayton, OH and is specialized in Family. Jacqueline June Davis practices in Moraine, OH and has the professional credentials of NURSEPRACTITIONER. The NPI Number for Jacqueline June Davis is 1972886943 and holds a License No. COA. 12542-NP (Ohio).

The current practice location address for Jacqueline June Davis is 2912 Springboro Rd, Moraine, OH and can be reached out via phone at 937-297-8999 and via fax at 937-277-8618.

Location: 2912 Springboro Rd, Moraine, OH, 45415-2676
person
Provider Profile Details
NPI Number
1972886943
Provider Name
Jacqueline June Davis
Credential
NURSEPRACTITIONER
Provider Entity Type
Individual
Gender
Female
Address
2912 Springboro Rd, Moraine, OH, 45415-2676
Phone Number
937-297-8999
Fax Number
937-277-8618
Provider Enumeration Date
09/26/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0054352 05 OH
000000742437 01 OH ANTHEM BCBS OHIO
421534506182 01 OH CARESROUCE OHIO
institution
Provider Business Practice Location Address Details
Address
2912 Springboro Rd
City
State
Zip
45439-1674
Phone Number
937-297-8999
Fax Number
937-277-8618
person
Provider Business Mailing Address Details
Address
2912 Springboro Rd
City
State
Zip
45439-1674
Phone Number
937-297-8999
Fax Number
937-277-8618
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
COA. 12542-NP (Ohio)
Definition
Definition to come...
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