Provider Demographics
NPI:1215384771
Name:DAVIS, JANE MCGEHEE
Entity Type:Individual
Prefix:MRS
First Name:JANE
Middle Name:MCGEHEE
Last Name:DAVIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3007 BREVARD AVE
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36109-2136
Mailing Address - Country:US
Mailing Address - Phone:334-303-0144
Mailing Address - Fax:334-279-7668
Practice Address - Street 1:3007 BREVARD AVE
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36109-2136
Practice Address - Country:US
Practice Address - Phone:334-303-0144
Practice Address - Fax:334-279-7668
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-14
Last Update Date:2016-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide