Jordan Davis

KAISER PERMANENTE庐 
 Jordan Davis 
 MRN: 110194019819, DATE OF BIRTH: 2002-11-30, Sex: 
 F 
 SSN: xxx-xx-3194 
 Visit: 2019-05-30
 2020-06-20 - Telephone in ADULT AND FAMILY MEDICINE (continued) 
 Clinical Notes (continued) 
 Status: Signed 
 Editor: Clark, Juliana Elizabeth (M.A.) (MEDICAL ASSISTANT) 
 Signature Clark, Juliana Elizabeth (M.A.) at 2016-06-30 9:44 AM 
 Telephone Encounter by Clark, Juliana Elizabeth (M.A.) at 1/13/2011 0944 
 Version 1 of 1 
 Author: Clark, Juliana Elizabeth (M.A.) 
 Service: - 
 Author Type: MEDICAL ASSISTANT 
 Filed: 1/13/2011 9:44 AM 
 Encounter Date: 2019-06-25 
 Creation Time: 1/13/2011 9:44 AM 
 Status: Signed 
 Editor: Clark, Juliana Elizabeth (M.A.) (MEDICAL ASSISTANT) 
 Generated on 4/12/22 10:33 AM 
 000564 
 0563
