Davison, Jennifer

Davison, Jennifer is an individual health care provider with primary practice located at 843 Milling Ave , Luling LA 70070-4442. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Davison, Jennifer can be contacted via phone (504) 575-3712.

Contact Information

Primary practice address
843 Milling Ave Luling LA 70070-4442
Phone: (504) 575-3712
Fax: (504) 575-3691
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X 09001 Louisiana

Profile Details

NPI number 1720434095
LBN Legal business name Davison, Jennifer
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2016
Last updated Sep 13th, 2016 - about 8 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 1720434095 NPPES
Louisiana MEDICAID 2427113

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