JACQUELINE DAVIS APRN - NPI 1871813550 - Nurse Practitioner in Jeffersonville, IN

Q: What is Jacqueline Davis's NPI number?

The NPI number for Jacqueline Davis is 1871813550. It was assigned to this individual provider in the NPPES registry on June 4, 2010. The provider is also known as Jacqueline Lanham Aprn.

Q: What is Jacqueline Davis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Jacqueline Davis was last updated on June 1, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

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About Jacqueline Davis Aprn NPPES

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

JACQUELINE DAVIS APRN (NPI 1871813550) is an individual nurse practitioner in Jeffersonville, Indiana, licensed in Kentucky (3006612) and active in the NPI registry since June 2010.

NPPES Registry Identity

NPI1871813550

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameJACQUELINE DAVISCredential: APRN

Location Address1804 E 10TH STJeffersonville, IN 47130-6016

Mailing Address200 Clinic DrivevMadisonville, KY 42431-1661 · (270) 824-3682 · Fax (270) 824-3675

Phone(812) 288-2488

Fax(812) 288-6603

Sole ProprietorNo

Enumeration DateJune 4, 2010

Last NPPES UpdateJune 1, 20172 updates tracked since enumeration

✔ NPI 1871813550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Licenses✔ Licensed in KY · 3006612✔ Licensed in KY · 49086✔ Licensed in IN · 71003616A

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 3006612 (KY)

1804 E 10TH ST, Jeffersonville, IN 47130

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Other Names 1

Other Name (5)Jacqueline Lanham Aprn

Other Identifiers 4

Other71003616AIN · License Number

Medicare UPINP400041577KY

Other3006612KY · License Number

OtherK151030KY · Medicare Ptan

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PHYSICIAN'S CARE GROUP

General Practice