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NICOLE DAVIS
NPI 1003352584
Counselor - Mental Health in Orange Park, FL

Active since January 09, 2017
2864 MOODY AVE, ORANGE PARK, FL 32073(352) 478-8273(352) 478-8088 Get Directions Write a Review

NPPES record last updated: January 9, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Nicole Davis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE DAVIS (NPI 1003352584) is an individual mental health provider in Orange Park, Florida and active in the NPI registry since January 2017.

NPPES Registry Identity

NPI1003352584
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameNICOLE DAVIS
Location Address2864 MOODY AVEOrange Park, FL 32073-6423
Mailing Address2864 Moody AveOrange Park, FL 32073-6423 · (352) 478-8273 · Fax (352) 478-8088
Phone(352) 478-8273
Fax(352) 478-8088
Sole ProprietorNo
Enumeration DateJanuary 9, 2017
✔ NPI 1003352584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2864 MOODY AVE, Orange Park, FL 32073
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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNIFER MARIE CLARK BA
Case Manager/Care Coordinator
2864 MOODY AVE
ORANGE PARK, FL 32073
Clay County (904) 765-0665
MYIAH JOHNSON
Counselor (Mental Health)
2864 MOODY AVE
ORANGE PARK, FL 32073
Clay County (352) 478-8395
CHARLOTTE GOODSON BA
Counselor (Mental Health)
2864 MOODY AVE
ORANGE PARK, FL 32073
Clay County (904) 765-0665
ERICA ANN JUSTAVINO MSW
Social Worker (Clinical)
2864 MOODY AVE
ORANGE PARK, FL 32073
Clay County (352) 478-8395
CAROL BERNARD BS
Counselor
2864 MOODY AVE
ORANGE PARK, FL 32073
Clay County (904) 765-0665

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Davis's NPI number?

The NPI number for Nicole Davis is 1003352584. It was assigned to this individual provider in the NPPES registry on January 9, 2017.

Where is Nicole Davis located?

Nicole Davis practices at 2864 Moody Ave, Orange Park, FL 32073. The listed phone number is (352) 478-8273.

What is Nicole Davis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Nicole Davis was last updated on January 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.