National Provider Identifier
Jennifer Lynn Davis, NP
Jennifer Lynn Davis, NP is listed in the NPPES registry with a primary specialty of Adult Health Nurse Practitioner in East Aurora, NY and a listed phone number of (845) 996-8176.
Profile Overview
- NPI
- 1366048357
- Provider Type
- Individual
- Primary Specialty
- Adult Health Nurse Practitioner
- Enumeration Date
- December 07, 2020
- Last Updated
- January 31, 2025
Practice Location
- 13611 Schang RD
- East Aurora, NY 14052-9595
Phone: (845) 996-8176
Mailing Address
- 612 Corporate Way Ste 2M
- Valley Cottage, NY 10989-2027
Specialties
- Adult Health Nurse Practitioner (363LA2200X)
Full Record
- NPI
- 1366048357
- Entity Type
- Individual
- Last Name
- Davis
- First Name
- Jennifer
- Middle Name
- Lynn
- Credential
- NP
- Mailing Street Address
- 612 Corporate Way Ste 2M
- Mailing City
- Valley Cottage
- Mailing State
- NY
- Mailing ZIP Code
- 10989-2027
- Mailing Country
- US
- Mailing Phone
- (845) 996-8176
- Mailing Fax
- (718) 362-8185
- Practice Street Address
- 13611 Schang RD
- Practice City
- East Aurora
- Practice State
- NY
- Practice ZIP Code
- 14052-9595
- Practice Country
- US
- Practice Phone
- (845) 996-8176
- Enumeration Date
- December 07, 2020
- Last Updated
- January 31, 2025
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- January 31, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Adult Health Nurse Practitioner (363LA2200X)
- Other Identifiers
- F310104-01 (NY, License Number Office Of Professionals)