DEONTAE LAMAR DAVIS RN
NPI 1043192503
Registered Nurse in Little Rock, AR

Q: What is Deontae Davis's NPI number?

The NPI number for Deontae Davis is 1043192503. It was assigned to this individual provider in the NPPES registry on July 24, 2025.

Q: What is Deontae Davis's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Q: When was this NPI record last updated?

The NPPES record for Deontae Davis was last updated on July 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.

Active since July 24, 2025

6501 W 12TH ST, LITTLE ROCK, AR 72204(501) 666-8686(501) 660-6832 Get Directions Write a Review

NPPES record last updated: July 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Deontae Lamar Davis Rn NPPES

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

DEONTAE LAMAR DAVIS RN (NPI 1043192503) is an individual registered nurse in Little Rock, Arkansas, licensed in Arkansas (229602) and active in the NPI registry since July 2025. He maintains a secondary practice location in Little Rock.

NPPES Registry Identity

NPI1043192503

Entity TypeIndividualMale

Primary Taxonomy163W00000X

Provider Legal NameDEONTAE LAMAR DAVISCredential: RN

Location Address6501 W 12TH STLittle Rock, AR 72204-1511

Mailing AddressPo Box 251970Little Rock, AR 72225-1970 · (501) 666-8686 · Fax (501) 660-6830

Phone(501) 666-8686

Fax(501) 660-6832

Sole ProprietorNo

Enumeration DateJuly 24, 2025

NPPES CertifiedJuly 24, 2025

✔ NPI 1043192503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered NurseNursing Service Providers

Taxonomy Code163W00000X

License✔ Licensed in AR · 229602

Definition

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

6501 W 12TH ST, Little Rock, AR 72204

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Secondary Practice Location 1

Location 16601 W 12th StLittle Rock, AR 72204-1513 · Phone (501) 666-8686 · Fax (501) 660-6829

Other Providers at the Same Location NPPES 20

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

CHALISA MAYO

Case Manager/Care Coordinator