Provider Demographics
NPI:1689930489
Name:DAVIS, JANNA BECKER (MD)
Entity Type:Individual
Prefix:DR
First Name:JANNA
Middle Name:BECKER
Last Name:DAVIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:JANNA
Other - Middle Name:HILLARY
Other - Last Name:BECKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:8601 VETERANS HWY
Mailing Address - Street 2:STE 200
Mailing Address - City:MILLERSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21108-1566
Mailing Address - Country:US
Mailing Address - Phone:410-771-9220
Mailing Address - Fax:410-771-9301
Practice Address - Street 1:8601 VETERANS HWY STE 200
Practice Address - Street 2:
Practice Address - City:MILLERSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21108-1566
Practice Address - Country:US
Practice Address - Phone:410-729-0424
Practice Address - Fax:410-729-0498
Is Sole Proprietor?:No
Enumeration Date:2012-04-05
Last Update Date:2019-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0078714207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine