JACK MATHEW DAVIS FNP
NPI 1063529162
Nurse Practitioner - Family in Apo, AP
About Jack Mathew Davis Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACK MATHEW DAVIS FNP (NPI 1063529162) is an individual family provider in Apo, AP, licensed in Arizona (RN073330) and active in the NPI registry since August 2006.
NPPES Registry Identity
Specialties & Licenses
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.
APO, AP 96205
APO, AP 96205
APO, AP 96205
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 Jack Davis's NPI number?
The NPI number for Jack Davis is 1063529162. It was assigned to this individual provider in the NPPES registry on August 24, 2006.
Where is Jack Davis located?
Jack Davis practices at 18th Medcom Attn: Dccs-Qm (credentials), Apo, AP 96205.
What is Jack Davis's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
When was this NPI record last updated?
The NPPES record for Jack Davis was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Jack Mathew Davis, FNP · NPI 1063529162
Family physician in Apo, AP. Individual provider, active in the CMS NPPES registry since August 24, 2006.
## Identity
- **NPI:** 1063529162 (Entity type: Individual)
- **Enumerated:** August 24, 2006
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** RN073330 (Arizona)
- **Sole proprietor:** No
## Practice location
- **Address:** 18TH MEDCOM, ATTN: DCCS-QM (CREDENTIALS), Apo, AP 96205-0054
## Record status
- **NPPES last updated:** July 21, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1063529162) · Data from the CMS NPPES public registry.