Davis, Jessica L.

Davis, Jessica L. is an individual health care provider with primary practice located at 3050 E River Bluff Blvd , Ozark MO 65721-8807. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Davis, Jessica L. can be contacted via phone (417) 820-5610.

Contact Information

Primary practice address
3050 E River Bluff Blvd Ozark MO 65721-8807
Phone: (417) 820-5610
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2003002308 Missouri

Profile Details

NPI number 1568501112
LBN Legal business name Davis, Jessica L.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2007
Last updated Nov 8th, 2013 - about 12 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 1568501112 NPPES
Missouri Other P00019946 RR MCR
Missouri Other 431560263 RR MCR

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