Jeremiah Davidson
Registered Nurse in Allentown, PA. Individual provider (NPI-1).
NPI number1134799653
StatusActive
Last updated in NPPESJun 28, 2021
Details
- NPI
- 1134799653
- Entity type
- Individual (NPI-1)
- Name
- Jeremiah Davidson
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 28, 2021
- Certification date
- Jun 28, 2021
- Last updated
- Jun 28, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | RN646059 | PA | Yes |
Practice location
1200 S Cedar Crest BlvdAllentown, PA 18103-6202
Phone 610-402-8000
Mailing address
2630 Elm Hill Pike Ste 350Nashville, TN 37214-3176
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