Provider Demographics
NPI:1831866961
Name:DAVIS, AJEE'
Entity type:Individual
Prefix:
First Name:AJEE'
Middle Name:
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 1:3001 US 130
Mailing Address - Street 2:APT. 77A
Mailing Address - City:DELRAN
Mailing Address - State:NJ
Mailing Address - Zip Code:08075
Mailing Address - Country:US
Mailing Address - Phone:856-473-8244
Mailing Address - Fax:
Practice Address - Street 1:3001 US 130
Practice Address - Street 2:APT. 77A
Practice Address - City:DELRAN
Practice Address - State:NJ
Practice Address - Zip Code:08075
Practice Address - Country:US
Practice Address - Phone:856-473-8244
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-26
Last Update Date:2022-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health