MRS. JAMI VICTORIA DAVIS-JACKSON (NPI# 1629243886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629243886 |
| Entity Type | Individual |
| Full Name | MRS. JAMI VICTORIA DAVIS-JACKSON |
| Credential | ACNP BC |
| Practice Address |
1 Saint Anthonys Way Alton IL 62002-4568 |
| Mailing Address |
12101 Woodcrest Executive Dr Suite 210 Saint Louis MO 63141-5047 |
| Practice Telephone | 3143170600 |
| Practice Fax Number | 3143170606 |
| Mailing Telephone | 3143170600 |
| Mailing Fax Number | 3143170606 |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2014-04-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
2001031602 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
209-007873 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 1629243886 | 05 | |
| MO | 1629243886 | 05 |
| Street Address |
1 SAINT ANTHONYS WAY |
| City | ALTON |
| State | IL |
| Zip Code | 62002-4568 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831198357 | Figueroa and Associates Anesthesia Group, Ltd. | Specialist | 1 Saint Anthonys Way, Alton, IL 62002-4568 | 2005-07-18 |
| 1164020491 | Leah Knabe | Nurse Practitioner | 1 Saint Anthonys Way, Alton, IL 62002-4568 | 2020-10-09 |
| 1689283723 | Michelle Marie Lovsey | Clinical Nurse Specialist | 1 Saint Anthonys Way, Alton, IL 62002-4568 | 2020-07-24 |
| 1174146906 | Amber Criswell | Hospitalist | 1 Saint Anthonys Way, Alton, IL 62002-4568 | 2020-05-27 |
| 1912432766 | John Conti | Physician Assistant | 1 Saint Anthonys Way, Alton, IL 62002-4568 | 2017-04-28 |
| 1366981474 | Stephanie Williams | Physical Therapist | 1 Saint Anthonys Way, Alton, IL 62002-4568 | 2017-02-22 |
| 1063950061 | Meagan Kallal | Occupational Therapist | 1 Saint Anthonys Way, Alton, IL 62002-4568 | 2017-02-09 |
| 1164973947 | Cep America - Illinois Hospitalist, LLP | Internal Medicine | 1 Saint Anthonys Way, Alton, IL 62002-4568 | 2016-10-17 |
| 1932592805 | Meghan Urbanek | Nurse Anesthetist, Certified Registered | 1 Saint Anthonys Way, Alton, IL 62002 | 2015-03-16 |
| 1437551322 | Osf Healthcare System | Surgery | 1 Saint Anthonys Way, Alton, IL 62002-4568 | 2014-09-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285272807 | Jersey Community Hospital | Obstetrics & Gynecology | #2 Memorial Drive, Suite 203, Alton, IL 62002 | 2019-12-13 |
| 1912540659 | Kelsi N Harre | Community Health Worker | 2603 N. Rogers Ave., Alton, IL 62002 | 2019-10-25 |
| 1841848322 | Destiny L Miller | Technician | 3429 Meridocia St, Alton, IL 62002 | 2019-08-28 |
| 1942854633 | Jessica Leigh Jump | Speech-Language Pathologist | 453 Bluff Street, Alton, IL 62002 | 2019-07-30 |
| 1194380741 | Vasiliki Kytridou | Dentist | 2800 College Avenue Southern Il University School of De, Building 285, Alton, IL 62002 | 2019-05-08 |
| 1982125910 | Amy Nicole Spalding | Social Worker | 1123 Harrison St, Alton, IL 62002 | 2017-06-29 |
| 1962856310 | Patricia Gregory | Social Worker | 5090 Humbert Rd, Alton, IL 62002 | 2016-04-21 |
| 1447612510 | Alanna Lynn Mcnelly | Chiropractor | 219 Piasa St, Suite 200, Alton, IL 62002 | 2016-03-28 |
| 1174983050 | Roberta's Lovely Ladies Boutique | Mastectomy Fitter | 603 W. Delmar, Alton, IL 62002 | 2016-03-04 |
| 1184081556 | Darcy Graham | Nurse Practitioner | 4 Memorial Dr # 210, Alton, IL 62002 | 2016-01-15 |
| Find all providers in zip 62002 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487971537 | Lorraine Rosenthal Seiffert | Nurse Practitioner | 2 Memorial Dr, Ste 101, Alton, IL 62002-6723 | 2010-04-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437759461 | Sarah Westerman | Nurse Practitioner | 721 Dover Ct, Pingree Grove, IL 60140-9181 | 2020-10-28 |
| 1609485424 | Intensive Karen LLC | Nurse Practitioner | 612 Mulford St Apt 503, Evanston, IL 60202-3531 | 2020-07-28 |
| 1609484591 | Jennifer Kuczero | Nurse Practitioner | 4059 W 89th Pl, Hometown, IL 60456-1202 | 2020-07-16 |
| 1205452489 | Aneta Trybula | Nurse Practitioner | 10604 W 154th Pl, Orland Park, IL 60462-6025 | 2020-06-23 |
| 1740742170 | Jenna C Reeh | Nurse Practitioner | 1740 W Taylor St # 605e, Chicago, IL 60612-7232 | 2019-04-04 |
| 1588125116 | Sherryl Estorque | Nurse Practitioner | 9033 W Heathwood Cir, Niles, IL 60714-5807 | 2019-03-27 |
| 1992276497 | Laura Beth Miller | Nurse Practitioner | 302 W Hay St Ste 110, Decatur, IL 62526-4167 | 2018-12-09 |
| 1932674322 | Ashleigh M Poptic | Nurse Practitioner | 675 N St Claire St Ste 19-100, Galter Pavilion, Chicago, IL 60611-5969 | 2018-10-11 |
| 1215415039 | Julieanne Ferguson | Nurse Practitioner | 251 E Huron St Dept Of, Chicago, IL 60611-2908 | 2018-08-02 |
| 1275024523 | Lateisha Nicole Fort | Nurse Practitioner | 1222 E 170th St, South Holland, IL 60473-3558 | 2018-05-22 |
| Find all providers with the same taxonomy | ||||
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| 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.