MS. JULIANA BROOK DAVIS TECHNICIAN NPI 1235320235

NPI Information

NPI: 1235320235
Provider Name: MS. JULIANA BROOK DAVIS, TECHNICIAN
Classification: Specialist/Technologist - 235500000X
Entity Type: Individual
Address:
2227 W MAIN ST
STE 3
JACKSONVILLE, AR
ZIP 72076
Phone: (501) 985-9944
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MS. Juliana Brook Davis, TECHNICIAN is a specialist technologist in Jacksonville, AR. The provider is general classification identifying speech, language and hearing services individuals who are trained on a specific piece of equipment or technical procedure. MS. Juliana Brook Davis, TECHNICIAN NPI is 1235320235. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2227 W MAIN ST
STE 3
JACKSONVILLE, AR
ZIP 72076-207
Phone: (501) 985-9944
Fax: (501) 985-6590

The enumeration date for this NPI number is 8/5/2007 and was last updated on 1/19/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	235500000X	Specialist/Technologist				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	400522327	OTHER	OKLAHOMA	IDTF
2	400522335	OTHER	OKLAHOMA	MEDICARE ID
3	146940002	MEDICAID	ARKANSAS
4	5C724	OTHER	ARKANSAS	IDTF
5	5C652	OTHER	ARKANSAS	MEDICARE ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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