Davis, Jennifer R

Davis, Jennifer R is an individual health care provider with primary practice located at 1200 S Cedar Crest Blvd , Allentown PA 18103-6202. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Davis, Jennifer R can be contacted via phone (610) 402-9099.

Contact Information

Primary practice address
1200 S Cedar Crest Blvd Allentown PA 18103-6202
Phone: (610) 402-9099
Fax: (610) 402-9029
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN521886-L Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 074737 Pennsylvania

Profile Details

NPI number 1639147580
LBN Legal business name Davis, Jennifer R
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated Apr 24th, 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 1639147580 NPPES
Pennsylvania MEDICAID 1027826140001
Pennsylvania Other 1802040
Pennsylvania Other 1802040
Pennsylvania Other 9319456
Pennsylvania Other 11776576
Pennsylvania Other 1584022
Pennsylvania Other 2189
Pennsylvania Other 2638353000
Pennsylvania Other 50056132

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