JACQUELINE SMITH DAVIS NP NPI 1891840120

NPI Information

  • NPI: 1891840120
  • Provider Name: JACQUELINE SMITH DAVIS, NP
  • Classification: Nurse Practitioner - 363L00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2001 TODAYS WOMAN AVE
    WINSTON SALEM, NC
    ZIP 27105
  • Phone: (336) 722-1818

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NPI Details

Jacqueline Smith Davis, NP is a nurse practitioner in Winston Salem, NC. The provider is (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. Jacqueline Smith Davis, NP NPI is 1891840120. 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:

2001 TODAYS WOMAN AVE
WINSTON SALEM, NC
ZIP 27105-069
Phone: (336) 722-1818
Fax: (336) 722-1826

The NPI 1891840120 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 1/25/2007 and was last updated on 5/8/2024.

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
1363LP0200XNurse PractitionerPediatrics104882NORTH CAROLINANo
2363L00000XNurse Practitioner5001629NORTH CAROLINAYes

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
1196292OTHERNORTH CAROLINAMEDCOST
2NN2912OTHERNORTH CAROLINAMEDICARE
39185097OTHERNORTH CAROLINAAETNA
4181GTOTHERNORTH CAROLINABCBS OF NC
57003982MEDICAIDNORTH CAROLINA

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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