DEBORAH ANN DAVIS ARNP NPI 1275885303

NPI Information

NPI: 1275885303
Provider Name: DEBORAH ANN DAVIS, ARNP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Organization: PHYSICAL MEDICINE SPECIALISTS, INC

PECOS Registration: Yes

Address:
10151 DEERWOOD PARK BLVD STE 200-250
JACKSONVILLE, FL
ZIP 32256
Phone: (904) 309-9996
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Deborah Ann Davis, ARNP is an adult health nurse practitioner in Jacksonville, FL with 24 years of experience. Deborah Ann Davis, ARNP NPI is 1275885303. 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:

10151 DEERWOOD PARK BLVD STE 200-250
JACKSONVILLE, FL
ZIP 32256-589
Phone: (904) 309-9996
Fax: (855) 632-8329

The NPI 1275885303 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/13/2012 and was last updated on 7/29/2014.

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	363LA2200X	Nurse Practitioner	Adult Health	ARNP2124972	FLORIDA	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
1	007222600	MEDICAID	FLORIDA
2	E5012Y	MEDICARE PIN	FLORIDA
3	003128909A	MEDICAID	GEORGIA

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: 11/14/2023

NPI Synchronization or Removal

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