NPI 1366072753

Jill Lynette Davis

Practitioner Registered Nurse Wadena, MN

Practice location

Address: 22 Dayton Ave SE, Wadena, MN 56482-1526
Phone: (218) 631-7629

Registered specialties

Registered Nurse Primary

Nursing Service Providers Taxonomy 163W00000X Licence R1314931 (MN)

Other Registered Nurse providers in Minnesota →

Registry record

NPI: 1366072753
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Jan 2020
Record last updated: 24 Jan 2020

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.