MRS. TINA EILEEN DAVIS BSN
NPI 1649307760
Registered Nurse - Community Health in Jackson, TN
Active since February 27, 2007
About Mrs. Tina Eileen Davis Bsn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. TINA EILEEN DAVIS BSN (NPI 1649307760) is an individual community health provider in Jackson, Tennessee, licensed in Tennessee (RN0000101265) and active in the NPI registry since February 2007.
NPPES Registry Identity
NPI1649307760
Entity TypeIndividualFemale
Primary Taxonomy163WC1500X
Provider Legal NameMRS. TINA EILEEN DAVISCredential: BSN
Location Address295 SUMMAR DRJackson, TN 38301-3905
Mailing Address295 Summar DrJackson, TN 38301-3905 · (731) 421-6753 · Fax (731) 421-5000
Phone(731) 421-6753
Fax(731) 421-5000
Sole ProprietorNo
Enumeration DateFebruary 27, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1649307760 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · Community HealthNursing Service Providers
Taxonomy Code163WC1500X
License✔ Licensed in TN · RN0000101265
295 SUMMAR DR, Jackson, TN 38301
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.
Licensed Practical Nurse
295 SUMMAR DR, CDC CLINIC
JACKSON, TN 38301
JACKSON, TN 38301
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1649307760, enumerated as an "individual" on February 27, 2007.
The provider is located at 295 SUMMAR DR JACKSON, TN 38301 and the phone number is (731) 421-6753.
Registered Nurse with taxonomy code 163WC1500X and a focus in Community Health.