Davidson, Jennifer Lynn

Davidson, Jennifer Lynn is an individual health care provider with primary practice located at 720 Kenyon Rd , Fort Dodge IA 50501-5759. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, Adult, which is considered as her primary health care specialty. Davidson, Jennifer Lynn can be contacted via phone (515) 955-7171.

Contact Information

Primary practice address
720 Kenyon Rd Fort Dodge IA 50501-5759
Phone: (515) 955-7171
Fax: (515) 573-7898
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X 125288 Iowa

Profile Details

NPI number 1235579517
LBN Legal business name Davidson, Jennifer Lynn
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2013
Last updated Jul 1st, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235579517 NPPES
Iowa MEDICAID 0159608
Iowa Other 07466

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