Individual ProviderJennifer DavisRegistered NurseNursing Service ProvidersPractice Address12 N Broadway, Yonkers, NY 10701-7064(917) 450-1306(914) 584-8219PECOS EnrollmentBased on the most recent information from CMS, provider Jennifer Davis does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 9:43 AM.Profile DetailsProvider ID1184229056Provider TypeIndividualFull NameDavis, JenniferCredentialRNGenderFemaleSole ProprietorNoEnumeration Date12/1/2020Last Updated12/1/2020Contact InformationPractice LocationPractice Address12 N Broadway, Yonkers, NY 10701-7064Phone(917) 450-1306FaxUnlisted FaxMailing LocationMailing Address1273 North Ave Apt 1h1, New Rochelle, NY 10804-2707Phone(914) 584-8219FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense663258New York