Davidson, Nancy Jane

Davidson, Nancy Jane is an individual health care provider with primary practice located at 850 Harrison Ave Yacc 4, Boston MA 02118-4001. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Davidson, Nancy Jane can be contacted via phone (617) 414-2000.

Contact Information

Primary practice address
850 Harrison Ave Yacc 4 Boston MA 02118-4001
Phone: (617) 414-2000
Fax: (617) 414-5798
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 269530 Massachusetts

Profile Details

NPI number 1083754857
LBN Legal business name Davidson, Nancy Jane
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2007
Last updated Jun 12th, 2014 - 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 1083754857 NPPES
Massachusetts Other 000026602 MEDICARE ID
Massachusetts MEDICAID 110074805A MEDICARE ID

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