Jacqueline Davis, RN
Registered Nurse in Rochester, MN. Individual provider (NPI-1).
NPI number1447921754
StatusActive
Last updated in NPPESSep 26, 2021
Details
- NPI
- 1447921754
- Entity type
- Individual (NPI-1)
- Name
- Jacqueline Davis
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 26, 2021
- Certification date
- Sep 26, 2021
- Last updated
- Sep 26, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 2490192 | MN | Yes |
Practice location
2018 15th St NwRochester, MN 55901-0716
Phone 507-281-1676
Mailing address
4878 170th Ln NwAndover, MN 55304-1717
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