JENNIFER KAY DAVIS NP NPI 1003008475

Nurse Practitioner (Family) in Douglas, GA

About JENNIFER DAVIS

Jennifer Davis is a provider in Douglas, GA. The NPI number assigned to this provider is 1003008475. The practitioner's primary taxonomy code is Nurse Practitioner (363LF0000X). The provider is registered as an individual and their NPI record was last updated 2 years ago. Jennifer Davis is registered with Medicare.

NPI1003008475 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Name JENNIFER KAY DAVIS NP
Provider Location Address1400 PETERSON AVE N SUITE C DOUGLAS, GA 31533 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address901 CONNECTOR 206 N SUITE C DOUGLAS, GA 31533 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderFemale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?No
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date08-09-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date01-07-2016 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

JENNIFER KAY DAVIS NP
1400 PETERSON AVE N
SUITE C
DOUGLAS, GA
ZIP 31533
Phone: (912) 384-4000
Fax: (912) 384-4029
Get Directions

Mailing Address

JENNIFER KAY DAVIS NP
901 CONNECTOR 206 N
SUITE C
DOUGLAS, GA
ZIP 31533
Phone: (912) 389-6885

Primary Taxonomy

Taxonomy Code363LF0000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationNurse Practitioner
TypePhysician Assistants & Advanced Practice Nursing Providers
SpecializationFamily
License No.RN057110 NP
License StateGA

Map Location


JENNIFER KAY DAVIS NP address is 1400 PETERSON AVE N SUITE C DOUGLAS, GA 31533

Other Providers at the same location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1164772372MR. JUSTIN MARCUS FENDER R-NP
Individual
Nurse Practitioner (Family)1400 PETERSON AVE N SUITE C
DOUGLAS, GA 31533
(912) 384-4000
1497114706SLEEPWELL, LLC
Organization
Durable Medical Equipment & Medical Supplies1400 PETERSON AVE N SUITE 2
DOUGLAS, GA 31533
(912) 384-0426