JENNIFER LYNN DAVIDSON RN NPI 1235579517

NPI Information

NPI: 1235579517
Provider Name: JENNIFER LYNN DAVIDSON, RN
Classification: Registered Nurse - 163WP0809X
Entity Type: Individual

Specialization: Psychiatric/Mental Health, Adult

Address:
720 KENYON RD
FORT DODGE, IA
ZIP 50501
Phone: (515) 955-7171
Get Directions

Jennifer Lynn Davidson, RN is a psychiatric/mental health and adult registered nurse in Fort Dodge, IA. Jennifer Lynn Davidson, RN NPI is 1235579517. 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:

720 KENYON RD
FORT DODGE, IA
ZIP 50501-759
Phone: (515) 955-7171
Fax: (515) 573-7898

The enumeration date for this NPI number is 7/1/2013 and was last updated on 7/1/2013.

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	163WP0809X	Registered Nurse	Psychiatric/Mental Health, Adult	125288	IOWA	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	0159608	MEDICAID	IOWA
2	07466	OTHER	IOWA	WELLMARK BCBS

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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