Davis, Jama Bradford

Davis, Jama Bradford is an individual health care provider with primary practice located at 303 Bancario Suite 1, Marion AR 72364-2825. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Davis, Jama Bradford can be contacted via phone (870) 739-8670.

Contact Information

Primary practice address
303 Bancario Suite 1 Marion AR 72364-2825
Fax: (870) 739-8706
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X A003724 Arkansas

Profile Details

NPI number 1194089763
LBN Legal business name Davis, Jama Bradford
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2012
Last updated Dec 9th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1194089763 NPPES
Arkansas MEDICAID 193487758

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