Provider Demographics
NPI:1851723704
Name:DAVIS, JENNI L (CD)
Entity Type:Individual
Prefix:MRS
First Name:JENNI
Middle Name:L
Last Name:DAVIS
Suffix:
Gender:F
Credentials:CD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1290 MERMAN DR
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40517-3024
Mailing Address - Country:US
Mailing Address - Phone:859-401-2251
Mailing Address - Fax:
Practice Address - Street 1:1290 MERMAN DR
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40517-3024
Practice Address - Country:US
Practice Address - Phone:859-401-2251
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-02
Last Update Date:2013-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula