Davison, Jack

Davison, Jack is an sole proprietor health care provider with primary practice located at 750 N Freedom Blvd , Provo UT 84601-1677. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent. Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent is his primary health care specialty. Davison, Jack can be contacted via phone (801) 852-4735.

Contact Information

Primary practice address
750 N Freedom Blvd Provo UT 84601-1677
Phone: (801) 852-4735
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 302471-3102 Utah
Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent 163WP0807X 302471-3102 Utah

Profile Details

NPI number 1285206854
LBN Legal business name Davison, Jack
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 13th, 2021
Last updated Jul 13th, 2021 - about 4 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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