JANETT DAVIS FNP
NPI 1053807420
Nurse Practitioner - Family in Moultrie, GA

Q: What is Janett Davis's NPI number?

The NPI number for Janett Davis is 1053807420. It was assigned to this individual provider in the NPPES registry on July 9, 2018.

Q: What is Janett Davis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Janett Davis was last updated on January 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since July 09, 2018

3015 VETERANS PKWY S, MOULTRIE, GA 31788(229) 985-4815 Get Directions Write a Review

NPPES record last updated: January 7, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 7, 2019, Sep 18, 2018, Jul 9, 2018 (3 updates tracked since 2018).

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About Janett Davis Fnp NPPES

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

JANETT DAVIS FNP (NPI 1053807420) is an individual family provider in Moultrie, Georgia, licensed in Georgia (195675) and active in the NPI registry since July 2018. She maintains a secondary practice location in Blakely.

NPPES Registry Identity

NPI1053807420

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJANETT DAVISCredential: FNP

Location Address3015 VETERANS PKWY SMoultrie, GA 31788-6705

Mailing Address31 W Carrie CtBlakely, GA 39823-2820 · (229) 308-0824

Phone(229) 985-4815

Sole ProprietorNo

Enumeration DateJuly 9, 2018

Last NPPES UpdateJanuary 7, 20193 updates tracked since enumeration

✔ NPI 1053807420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in GA · 195675

Also ListedRegistered Nurse · General PracticeTaxonomy 163WG0000X · License RN195675 (GA)

3015 VETERANS PKWY S, Moultrie, GA 31788

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Secondary Practice Location 1

Location 131 W Carrie CtBlakely, GA 39823-2820 · Phone (229) 308-0824

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.

BARBARA MAE RUNYAN R.D.L.D.

Dietitian, Registered