ELIZABETH E DAVIS CNP NPI 1669732624

NPI Information

  • NPI: 1669732624
  • Provider Name: ELIZABETH E DAVIS, CNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 485 BLACKLICK RD
    MILLERSPORT, OH
    ZIP 43046
  • Phone: (740) 504-0277

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NPI Details

Elizabeth E Davis, CNP is a family nurse practitioner in Millersport, OH. Elizabeth E Davis, CNP NPI is 1669732624. 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:

485 BLACKLICK RD
MILLERSPORT, OH
ZIP 43046-725
Phone: (740) 504-0277

The NPI 1669732624 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/24/2012 and was last updated on 8/27/2025.

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 PractitionerFamilyAPRN11026902FLORIDANo
2363LF0000XNurse PractitionerFamilyCOA.13011-NPOHIONo
3363LF0000XNurse PractitionerFamily4704312027MICHIGANNo
4363LF0000XNurse PractitionerFamilyAP7391ARIZONANo
5363LP0808XNurse PractitionerPsychiatric/Mental Health209.033023ILLINOISNo
6363LP0808XNurse PractitionerPsychiatric/Mental Health0024194388VIRGINIANo
7363LP0808XNurse PractitionerPsychiatric/Mental HealthL8-0010887DELAWARENo
8363LP0808XNurse PractitionerPsychiatric/Mental Health123875WEST VIRGINIANo
9363LP0808XNurse PractitionerPsychiatric/Mental HealthAPRN11026902FLORIDANo
10363LP0808XNurse PractitionerPsychiatric/Mental HealthAPRN.CNP.13011OHIONo
11363LF0000XNurse PractitionerFamilyAPRN001646NEVADAYes

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
10136163MEDICAIDOHIO

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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