JACQUELINE DAVIS (NPI# 1033512405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033512405 |
| Entity Type | Individual |
| Full Name | JACQUELINE DAVIS |
| Practice Address |
118 Krause Dr Jerseyville IL 62052-3610 |
| Mailing Address |
2615 Edwards St Alton IL 62002-3915 |
| Practice Telephone | 6184981808 |
| Practice Fax Number | 6184622504 |
| Mailing Telephone | 6184622331 |
| Mailing Fax Number | 6184622504 |
| Enumeration Date | 2014-09-30 |
| Last Update Date | 2014-10-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366098782 | Jacqueline Davis | Technician | 430 Brushfield Park Dr, Elgin, SC 29045-8397 | 2019-08-12 |
| 1801373550 | Jacqueline Davis | Counselor | 1380 Sw Swantown Ave Apt G, Oak Harbor, WA 98277-7523 | 2018-07-25 |
| 1285126557 | Jacqueline Davis | Counselor | 1309 Northup St Ste F, Reidsville, NC 27320-5611 | 2018-06-03 |
| 1891218376 | Jacqueline Denise Davis | Home Health Aide | 5340 M St Ne, Magnolia, OH 44643-8466 | 2017-07-17 |
| 1285169730 | Jacqueline Davis | Registered Nurse | Barbel Plaza South, First Floor, Ross Building, St. Thomas, VI 00802 | 2017-04-21 |
| 1972058444 | Jacqueline Davis | Nurse Practitioner | 925 Woodland Brk, Mcdonough, GA 30253-5578 | 2016-08-24 |
| 1730523341 | Jacqueline Davis | Licensed Practical Nurse | 2305 Staborn Dr, Beloit, WI 53511-2737 | 2013-04-25 |
| 1457623621 | Jacqueline A Davis | Counselor | 511 W Grove St Ste 204, Middleboro, MA 02346-1479 | 2012-02-03 |
| 1104137736 | Jacqueline Davis | Social Worker | 276 Cherokee Rd, Pontiac, MI 48341-2004 | 2010-06-29 |
| 1962726687 | Jacqueline Williams Davis | Pharmacist | 200 Georgia Ave, Valdosta, GA 31698 | 2010-03-24 |
| Street Address |
118 KRAUSE DR |
| City | JERSEYVILLE |
| State | IL |
| Zip Code | 62052-3610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861700585 | Centerstone of Illinois, Inc | Community/Behavioral Health | 118 Krause Dr, Jerseyville, IL 62052-3610 | 2010-09-15 |
| 1811353535 | Centerstone of Illinois, Inc | Community/Behavioral Health | 118 Krause Dr, Jerseyville, IL 62052-3610 | 2016-01-11 |
| 1740683853 | Neil Daniels | Counselor | 118 Krause Dr, Jerseyville, IL 62052-3610 | 2014-10-02 |
| 1649673732 | Matt Kuehn | Counselor | 118 Krause Dr, Jerseyville, IL 62052-3610 | 2014-10-02 |
| 1609279892 | Maria Jordan | Counselor | 118 Krause Dr, Jerseyville, IL 62052-3610 | 2014-10-01 |
| 1528461712 | Shawtika Gardner | Counselor | 118 Krause Dr, Jerseyville, IL 62052-3610 | 2014-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396265666 | Lauren Mccarthy | Podiatrist | 400 Maple Summit Rd Suite 200, Jerseyville, IL 62052 | 2017-06-27 |
| 1851757488 | German Insurance Agency | Local Education Agency (LEA) | 850 S State Street, Jerseyville, IL 62052 | 2016-01-12 |
| 1942584230 | Thomas G Honke | Pharmacist | 705 South State, Walgreens, Jerseyville, IL 62052 | 2011-10-05 |
| 1861786493 | Pain Relief Center | Clinic/Center | 903 South State Street, Jerseyville, IL 62052 | 2011-05-31 |
| 1902058845 | Ronald Lee Schroeder | Obstetrics & Gynecology | 1211 West Carpenter, Jerseyville, IL 62052 | 2008-10-22 |
| 1760696116 | Rebecca Elaine Alexander | Massage Therapist | 1301 S State St, Jerseyville, IL 62052 | 2007-05-09 |
| 1205950540 | Charles C Alexander | Chiropractor | 1301 S State, Jerseyville, IL 62052 | 2007-03-19 |
| 1902816358 | Kirk William Schultz | Chiropractor | 519 South State Street, Jerseyville, IL 62052 | 2006-08-08 |
| 1235119652 | Batool N Vali | Obstetrics & Gynecology | 1702 W. County Road, Jerseyville, IL 62052 | 2006-01-20 |
| 1649270729 | Jersey County Health Department | Public Health or Welfare | 1307 State Highway 109, Jerseyville, IL 62052 | 2005-07-29 |
| Find all providers in zip 62052 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811917875 | Bruce Patton Mindrup | Counselor | 106 Goodrich St, Jerseyville, IL 62052-2212 | 2006-07-20 |
| 1740683853 | Neil Daniels | Counselor | 118 Krause Dr, Jerseyville, IL 62052-3610 | 2014-10-02 |
| 1649673732 | Matt Kuehn | Counselor | 118 Krause Dr, Jerseyville, IL 62052-3610 | 2014-10-02 |
| 1609279892 | Maria Jordan | Counselor | 118 Krause Dr, Jerseyville, IL 62052-3610 | 2014-10-01 |
| 1528461712 | Shawtika Gardner | Counselor | 118 Krause Dr, Jerseyville, IL 62052-3610 | 2014-10-01 |
| 1538562962 | Leah Sanders | Counselor | 221 E County Rd, Jerseyville, IL 62052-3190 | 2014-09-30 |
| 1861895377 | Lois Harmon | Counselor | 1006 State Highway 16, Jerseyville, IL 62052-2826 | 2014-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730780602 | Saba Aqel | Counselor | 107 W Van Buren St Ste 215, Chicago, IL 60605-1054 | 2020-11-05 |
| 1124629696 | Audra Murphy | Counselor | 1020 E Ogden Ave Ste 204, Naperville, IL 60563-8610 | 2020-11-02 |
| 1811597412 | Mindy Marie Eastling | Counselor | 27240 Dutton Rd, Beecher, IL 60401-5054 | 2020-11-01 |
| 1306446307 | Oak Point Counseling, Pllc | Counselor | 1207 Mchenry Rd Ste 217b, Buffalo Grove, IL 60089-1371 | 2020-10-28 |
| 1508466061 | Kathrin Simac | Counselor | 900 Royal Heights Rd # 2150, Belleville, IL 62226-5457 | 2020-10-26 |
| 1669071288 | Kristin Smith Warden | Counselor | 566 Cedar St, Winnetka, IL 60093-2338 | 2020-10-24 |
| 1538768155 | Angelicare LLC | Counselor | 6650 N Northwest Hwy Ste 215, Chicago, IL 60631-1363 | 2020-10-23 |
| 1568061612 | Donnie L Winget | Counselor | 536 N Division St, Carterville, IL 62918-1006 | 2020-10-20 |
| 1013516145 | Modern Soul Therapy LLC | Counselor | 2000 N Racine Ave Ste 2160, Chicago, IL 60614-4045 | 2020-10-20 |
| 1861090433 | Ruth Elaine Rayfield | Counselor | 418 North Center Street, Apt# 206, South Elgin, IL 60177 | 2020-10-15 |
| Find all providers with the same taxonomy | ||||
| City | JERSEYVILLE |
| Zip Code | 62052 |
Please comment or provide details below to improve the information on JACQUELINE DAVIS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.