Individual provider · NPI-1

Jessica Jayne Davis, LMT

Massage Therapist · Jacksonville, NC

NPI number1043010887
StatusActive
Last updated in NPPESMar 18, 2025

Details

NPI
1043010887
Entity type
Individual (NPI-1)
Name
Jessica Jayne Davis
Credential
LMT
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 18, 2025
Certification date
Mar 18, 2025
Last updated
Mar 18, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage Therapist22203NCYes

Practice location

305 Dennis Rd
Jacksonville, NC 28546-4713

Phone 910-320-2550

Mailing address

305 Dennis Rd
Jacksonville, NC 28546-4713

Phone 910-320-2550

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