JANE S DAVIS, CRNP - NPI NUMBER 1780778480

Summary

Provider Name: JANE S DAVIS, CRNP

NPI Number: 1780778480

Clasification: Nurse Practitioner (363LA2200X)

Specialization: Adult Health

Organization: UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION, PC

Address:
619 19TH STREET SOUTH
BIRMINGHAM, AL
ZIP 35233

Phone Number: (205) 934-6600



Detailed Information

Jane S Davis, CRNP is an adult health nurse practitioner in Birmingham, AL with 13 years of experience. The assigned NPI number for this provider is 1780778480 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business address is:

619 19TH STREET SOUTH
BIRMINGHAM, AL
ZIP 35233
Phone: (205) 934-6600

The enumeration date for this NPI number is 10/3/2006 and was last updated on 7/8/2007.

Map - Location of Practice

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Taxonomy Codes

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 1052030 AL Yes

Other (Legacy) Identifiers

The following legacy identifiers are available for this provider:

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1 P70685 MEDICARE UPIN AL

NPI Record

No. Field Name Field Value
1 NPI 1780778480
2 Entity Type Code 1
3 Provider Last Name Legal Name DAVIS
4 Provider First Name JANE
5 Provider Middle Name S
6 Provider Credential Text CRNP
7 Provider First Line Business Practice Location Address 619 19TH STREET SOUTH
8 Provider Business Practice Location Address City Name BIRMINGHAM
9 Provider Business Practice Location Address State Name AL
10 Provider Business Practice Location Address Postal Code 35233
11 Provider Business Practice Location Address Country Code If outside U S US
12 Provider Business Practice Location Address Telephone Number 2059346600
13 Provider Enumeration Date 10/3/2006
14 Last Update Date 7/8/2007
15 Provider Gender Code F
16 Healthcare Provider Taxonomy Code 1 363LA2200X
17 Provider License Number 1 1052030
18 Provider License Number State Code 1 AL
19 Healthcare Provider Primary Taxonomy Switch 1 Y
20 Other Provider Identifier 1 P70685
21 Other Provider Identifier Type Code 1 02
22 Other Provider Identifier State 1 AL
23 Is Sole Proprietor N

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This page was last updated on: 7/15/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.