KRISTEN DAVIDSON NPI 1265885966

NPI Information

  • NPI: 1265885966
  • Provider Name: KRISTEN DAVIDSON
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 688 E MILLSAP RD
    SUITE 100
    FAYETTEVILLE, AR
    ZIP 72703
  • Phone: (479) 463-3070

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NPI Details

Kristen Davidson is a family nurse practitioner in Fayetteville, AR. Kristen Davidson NPI is 1265885966. 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:

688 E MILLSAP RD
SUITE 100
FAYETTEVILLE, AR
ZIP 72703-095
Phone: (479) 463-3070

The NPI 1265885966 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 7/18/2016 and was last updated on 7/18/2016.

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
1363LF0000XNurse PractitionerFamilyA004820ARKANSASYes

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: 11/21/2025

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