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JACK MATHEW DAVIS IMH
NPI 1255197356
Counselor - Mental Health in Jacksonville, FL

Active since February 26, 2024
820 PRUDENTIAL DR STE 510, JACKSONVILLE, FL 32207(904) 376-3800(904) 390-7398 Get Directions Write a Review

NPPES record last updated: February 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jack Mathew Davis Imh NPPES

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

JACK MATHEW DAVIS IMH (NPI 1255197356) is an individual mental health provider in Jacksonville, Florida, licensed in Florida (IMH24995) and active in the NPI registry since February 2024.

NPPES Registry Identity

NPI1255197356
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJACK MATHEW DAVISCredential: IMH
Location Address820 PRUDENTIAL DR STE 510Jacksonville, FL 32207-8207
Mailing AddressPo Box 748519Atlanta, GA 30374-8519 · (904) 376-3800 · Fax (904) 376-3998
Phone(904) 376-3800
Fax(904) 390-7398
Sole ProprietorNo
Enumeration DateFebruary 26, 2024
NPPES CertifiedFebruary 26, 2024
✔ NPI 1255197356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in FL · IMH24995
820 PRUDENTIAL DR STE 510, Jacksonville, FL 32207
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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.

MELISSA NELSEN APRN
Nurse Practitioner (Psychiatric/Mental Health)
820 PRUDENTIAL DR STE 510
JACKSONVILLE, FL 32207
Duval County (904) 376-3800
JOSEPH VELASQUEZ PSY.D.
Student in an Organized Health Care Education/Training Program
820 PRUDENTIAL DR STE 510
JACKSONVILLE, FL 32207
Duval County (904) 376-3800
RASHARIA C. CASON LCSW
Social Worker (Clinical)
820 PRUDENTIAL DR STE 510
JACKSONVILLE, FL 32207
Duval County (904) 376-3800
CHELSEA TAYLOR MOON-TISON
Social Worker (Clinical)
820 PRUDENTIAL DR STE 510
JACKSONVILLE, FL 32207
Duval County (904) 376-3800
DANIELA WOODWARD
Student in an Organized Health Care Education/Training Program
820 PRUDENTIAL DR STE 510
JACKSONVILLE, FL 32207
Duval County (904) 376-3800
ALICIA S EVANS
Nurse Practitioner (Psychiatric/Mental Health)
820 PRUDENTIAL DR STE 510
JACKSONVILLE, FL 32207
Duval County (904) 376-3800
DONALD POLLOCK MD.
Psychiatry & Neurology (Psychiatry)
820 PRUDENTIAL DR STE 510
JACKSONVILLE, FL 32207
Duval County (904) 376-3800
RYAN MICHAEL MOROZE M.D.
Psychiatry & Neurology (Psychiatry)
820 PRUDENTIAL DR STE 510
JACKSONVILLE, FL 32207
Duval County (904) 376-3800

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 1255197356. It was assigned to this individual provider in the NPPES registry on February 26, 2024.

Where is Jack Davis located?

Jack Davis practices at 820 Prudential Dr Ste 510, Jacksonville, FL 32207. The listed phone number is (904) 376-3800.

What is Jack Davis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Jack Davis was last updated on February 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.