Davis, Irene Jennifer

Davis, Irene Jennifer is an sole proprietor health care provider with primary practice located at 1225 15Th St , Santa Monica CA 90404-1101. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Davis, Irene Jennifer can be contacted via phone (310) 319-5122.

Contact Information

Primary practice address
1225 15Th St Santa Monica CA 90404-1101
Phone: (310) 319-5122
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 19363 California

Profile Details

NPI number 1619260015
LBN Legal business name Davis, Irene Jennifer
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 18th, 2011
Last updated Jan 21st, 2016 - about 9 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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