NPI 1013994011
Jessica S Davis, PAC
Practice location
- Address
- 580 Providence Park Dr E Fl 2, Mobile, AL 36695
- Phone
- (251) 631-3570
- Fax
- (251) 631-3572
- Mailing address
- 801 York St, Manitowoc, WI 54220-4630
Registered specialties (2)
Physician Assistant
Primary
Medical Physician Assistant
Registry record
- NPI
- 1013994011
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 30 Dec 2005
- Record last updated
- 21 Jul 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.