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JEFFERIES BLAKE DAVIS
NPI 1003430869
Peer Specialist in Newalla, OK

Active since June 07, 2020
10700 S CHOCTAW RD, NEWALLA, OK 74857(405) 742-7713 Get Directions Write a Review

NPPES record last updated: June 8, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 8, 2020, Jun 7, 2020 (2 updates tracked since 2020).

About Jefferies Blake Davis NPPES

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

JEFFERIES BLAKE DAVIS (NPI 1003430869) is an individual peer specialist in Newalla, Oklahoma and active in the NPI registry since June 2020. He maintains a secondary practice location in Oklahoma City.

NPPES Registry Identity

NPI1003430869
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameJEFFERIES BLAKE DAVIS
Location Address10700 S CHOCTAW RDNewalla, OK 74857-7962
Mailing Address7701 S Anderson RdOklahoma City, OK 73150-6708 · (405) 742-7713
Phone(405) 742-7713
Sole ProprietorNo
Enumeration DateJune 7, 2020
Last NPPES UpdateJune 8, 20202 updates tracked since enumeration
NPPES CertifiedJune 8, 2020
✔ NPI 1003430869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
10700 S CHOCTAW RD, Newalla, OK 74857
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Secondary Practice Location 1

Location 17701 S Anderson RdOklahoma City, OK 73150-6708 · Phone (405) 742-7713

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.

TRISTAN DANIEL HUGHES
Peer Specialist
10700 S CHOCTAW RD
NEWALLA, OK 74857
Oklahoma County (405) 301-3789
NICHOLAS HUGHES
Peer Specialist
10700 S CHOCTAW RD
NEWALLA, OK 74857
Oklahoma County (405) 301-3789
GRIFFIN SAUNDERS
Counselor (Addiction (Substance Use Disorder))
10700 S CHOCTAW RD
NEWALLA, OK 74857
Oklahoma County (405) 229-0976
KEVIN LEE SIMMONS CIO
Peer Specialist
10700 S CHOCTAW RD
NEWALLA, OK 74857
Oklahoma County (405) 481-0789
JIMMY COX
Peer Specialist
10700 S CHOCTAW RD
NEWALLA, OK 74857
Oklahoma County (405) 754-8259

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 Jefferies Davis's NPI number?

The NPI number for Jefferies Davis is 1003430869. It was assigned to this individual provider in the NPPES registry on June 7, 2020.

Where is Jefferies Davis located?

Jefferies Davis practices at 10700 S Choctaw Rd, Newalla, OK 74857. The listed phone number is (405) 742-7713.

What is Jefferies Davis's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Jefferies Davis was last updated on June 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.