CHANTINA DANYELL DAVIS PA-C NPI 1730377300

NPI Information

NPI: 1730377300
Provider Name: CHANTINA DANYELL DAVIS, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
9550 BAYMEADOWS RD STE 9
JACKSONVILLE, FL
ZIP 32256
Phone: (904) 730-5115
Get Directions

Chantina Danyell Davis, PA-C is a medical physician assistant in Jacksonville, FL. Chantina Danyell Davis, PA-C NPI is 1730377300. 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:

9550 BAYMEADOWS RD STE 9
JACKSONVILLE, FL
ZIP 32256-748
Phone: (904) 730-5115
Fax: (904) 828-5552

The NPI 1730377300 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 10/9/2007 and was last updated on 5/4/2021.

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	363AM0700X	Physician Assistant	Medical	PA9103211	FLORIDA	Yes

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: 4/28/2024

NPI Synchronization or Removal

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