Davidson, Jennifer Michelle

Davidson, Jennifer Michelle is an sole proprietor health care provider with primary practice located at 853 Jefferson Ave Ste 201 , Memphis TN 38103. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as her primary health care specialty. Davidson, Jennifer Michelle can be contacted via phone (901) 448-5950.

Contact Information

Primary practice address
853 Jefferson Ave Ste 201 Memphis TN 38103
Phone: (901) 448-5950
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 2713 Tennessee

Profile Details

NPI number 1659638310
LBN Legal business name Davidson, Jennifer Michelle
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 19th, 2012
Last updated May 1st, 2019 - about 6 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 1659638310 NPPES
Mississippi MEDICAID 05188531
Mississippi MEDICAID 7100589420
Mississippi MEDICAID 210036003
Mississippi MEDICAID Q008515
Mississippi MEDICAID 1659638310

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