JACK DAVISON RN NPI 1285206854

NPI Information

NPI: 1285206854
Provider Name: JACK DAVISON, RN
Classification: Registered Nurse - 163WP0807X
Entity Type: Individual

Specialization: Psychiatric/Mental Health, Child & Adolescent

Address:
750 N FREEDOM BLVD
PROVO, UT
ZIP 84601
Phone: (801) 852-4735
Get Directions

Jack Davison, RN is a psychiatric/mental health and child and adolescent registered nurse in Provo, UT. Jack Davison, RN NPI is 1285206854. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

750 N FREEDOM BLVD
PROVO, UT
ZIP 84601-677
Phone: (801) 852-4735

The enumeration date for this NPI number is 7/13/2021 and was last updated on 7/13/2021.

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	163WP0807X	Registered Nurse	Psychiatric/Mental Health, Child & Adolescent	302471-3102	UTAH	Yes
2	163WP0808X	Registered Nurse	Psychiatric/Mental Health	302471-3102	UTAH	No

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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