MRS. JACQUELINE JUNE DAVIS NURSE PRACTITIONER NPI 1972886943

NPI Information

NPI: 1972886943
Provider Name: MRS. JACQUELINE JUNE DAVIS, NURSE PRACTITIONER
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
2912 SPRINGBORO RD
MORAINE, OH
ZIP 45439
Phone: (937) 297-8999
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MRS. Jacqueline June Davis, NURSE PRACTITIONER is a family nurse practitioner in Moraine, OH. MRS. Jacqueline June Davis, NURSE PRACTITIONER NPI is 1972886943. 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:

2912 SPRINGBORO RD
MORAINE, OH
ZIP 45439-674
Phone: (937) 297-8999
Fax: (937) 277-8618

The enumeration date for this NPI number is 9/26/2011 and was last updated on 12/5/2012.

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	363LF0000X	Nurse Practitioner	Family	COA. 12542-NP	OHIO	Yes

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
1	0054352	MEDICAID	OHIO
2	421534506182	OTHER	OHIO	CARESROUCE OHIO
3	000000742437	OTHER	OHIO	ANTHEM BCBS OHIO
4	H054520	MEDICARE PIN	OHIO

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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