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JACK DAVISON RN
NPI 1285206854
Registered Nurse - Psychiatric/Mental Health, Child & Adolescent in Provo, UT

Active since July 13, 2021
750 N FREEDOM BLVD, PROVO, UT 84601(801) 852-4735 Get Directions Write a Review

NPPES record last updated: July 13, 2021. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Jack Davison Rn NPPES

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

JACK DAVISON RN (NPI 1285206854) is an individual psychiatric/mental health, child & adolescent provider in Provo, Utah, licensed in Utah (302471-3102) and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1285206854
Entity TypeIndividualMale
Primary Taxonomy163WP0807X
Provider Legal NameJACK DAVISONCredential: RN
Location Address750 N FREEDOM BLVDProvo, UT 84601-1677
Mailing Address750 N Freedom BlvdProvo, UT 84601-1677 · (801) 852-4735
Phone(801) 852-4735
Sole ProprietorYes
Enumeration DateJuly 13, 2021
NPPES CertifiedJuly 13, 2021
✔ NPI 1285206854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental Health, Child & AdolescentNursing Service Providers
Taxonomy Code163WP0807X
License✔ Licensed in UT · 302471-3102
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License 302471-3102 (UT)
750 N FREEDOM BLVD, Provo, UT 84601
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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.

ELIZA RACHELLE GEDGE PH.D., LP
Psychologist (Clinical)
750 N FREEDOM BLVD
PROVO, UT 84601
Utah County (801) 373-0639
WASATCH MENTAL HEALTH
Clinic/Center (Adolescent and Children Mental Health)
750 N FREEDOM BLVD
PROVO, UT 84601
Utah County (801) 373-4760
JUSTINE CADAYONG EGGLESTON
Social Worker (Clinical)
750 N FREEDOM BLVD
PROVO, UT 84601
Utah County (801) 373-4760
SARAH FARIA
Case Manager/Care Coordinator
750 N FREEDOM BLVD
PROVO, UT 84601
Utah County (801) 373-4760
MEGAN NICHOLS
Case Manager/Care Coordinator
750 N FREEDOM BLVD
PROVO, UT 84601
Utah County (801) 373-4760
VICTORIA RYALS
Student in an Organized Health Care Education/Training Program
750 N FREEDOM BLVD
PROVO, UT 84601
Utah County (801) 373-4760
KAMERYA HANOHANO
Peer Specialist
750 N FREEDOM BLVD
PROVO, UT 84601
Utah County (801) 373-4760
ALLISON RAMIREZ
Peer Specialist
750 N FREEDOM BLVD
PROVO, UT 84601
Utah County (801) 373-4760

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 Davison's NPI number?

The NPI number for Jack Davison is 1285206854. It was assigned to this individual provider in the NPPES registry on July 13, 2021.

Where is Jack Davison located?

Jack Davison practices at 750 N Freedom Blvd, Provo, UT 84601. The listed phone number is (801) 852-4735.

What is Jack Davison's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Psychiatric/Mental Health, Child & Adolescent, with taxonomy code 163WP0807X.

When was this NPI record last updated?

The NPPES record for Jack Davison was last updated on July 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.