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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JESSICA HARLEY DAVIDSON PA
NPI 1255099172
Physician Assistant in Fort Irwin, CA

Active since December 08, 2021
390 N. LOOP ROAD, FORT IRWIN, CA 92310(866) 957-9224 Get Directions Write a Review

NPPES record last updated: October 23, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Jessica Harley Davidson Pa NPPES

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

JESSICA HARLEY DAVIDSON PA (NPI 1255099172) is an individual physician assistant in Fort Irwin, California and active in the NPI registry since December 2021.

NPPES Registry Identity

NPI1255099172
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJESSICA HARLEY DAVIDSONCredential: PA
Location Address390 N. LOOP ROADFort Irwin, CA 92310
Mailing Address390 N. Loop RoadFort Irwin, CA 92310
Phone(866) 957-9224
Sole ProprietorNo
Enumeration DateDecember 8, 2021
Last NPPES UpdateOctober 23, 2026
NPPES CertifiedOctober 21, 2026
✔ NPI 1255099172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
390 N. LOOP ROAD, Fort Irwin, CA 92310
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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 Jessica Davidson's NPI number?

The NPI number for Jessica Davidson is 1255099172. It was assigned to this individual provider in the NPPES registry on December 8, 2021.

Where is Jessica Davidson located?

Jessica Davidson practices at 390 N. Loop Road, Fort Irwin, CA 92310. The listed phone number is (866) 957-9224.

What is Jessica Davidson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Jessica Davidson was last updated on October 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days 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.