KING ROSEVELT DAVIS APRN NPI 1275380461

NPI Information

  • NPI: 1275380461
  • Provider Name: KING ROSEVELT DAVIS, APRN
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 11106 BUGATTI CT
    JACKSONVILLE, FL
    ZIP 32246
  • Phone: (904) 251-5333

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NPI Details

King Rosevelt Davis, APRN is a family nurse practitioner in Jacksonville, FL. King Rosevelt Davis, APRN NPI is 1275380461. 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:

11106 BUGATTI CT
JACKSONVILLE, FL
ZIP 32246-481
Phone: (904) 251-5333

The enumeration date for this NPI number is 5/4/2024 and was last updated on 5/4/2024.

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 PractitionerFamily11032636FLORIDAYes

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: 3/30/2025

NPI Synchronization or Removal

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