JACQUELINE S DAVIS (NPI# 1891840120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891840120 |
| Entity Type | Individual |
| Full Name | JACQUELINE S DAVIS |
| Credential | NP |
| Practice Address |
600 Moye Blvd Greenville NC 27834 |
| Mailing Address |
Po Box 751069 Charlotte NC 28275-1069 |
| Practice Telephone | 2527444676 |
| Practice Fax Number | 2527448199 |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2019-03-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
104882 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | AETNA | 9185097 | 01 |
| NC | MEDICARE | NN2912 | 01 |
| NC | BCBS OF NC | 181GT | 01 |
| NC | MEDCOST | 196292 | 01 |
| NC | 7003982 | 05 |
| 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 |
600 MOYE BLVD |
| City | GREENVILLE |
| State | NC |
| Zip Code | 27834 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467455600 | Fiona Cook | Internal Medicine | 600 Moye Blvd, Ecu Physicians Endocrinology, Greenville, NC 27834-4300 | 2005-05-23 |
| 1851904999 | Tyler Nigele Edgerton | Student in an Organized Health Care Education/Training Program | 600 Moye Blvd, Greenville, NC 27834-4300 | 2020-08-28 |
| 1366054272 | Mallory Claire Savidge | Social Worker | 600 Moye Blvd, Greenville, NC 27834-4300 | 2020-08-21 |
| 1336759109 | Jessica Veale | Physician Assistant | 600 Moye Blvd, Greenville, NC 27834-4300 | 2020-08-05 |
| 1942819990 | Ryan Grabiec | Student in an Organized Health Care Education/Training Program | 600 Moye Blvd, Greenville, NC 27834-4300 | 2020-07-27 |
| 1215545157 | Rewati Bhattarai | Student in an Organized Health Care Education/Training Program | 600 Moye Blvd, Greenville, NC 27834-4300 | 2020-07-16 |
| 1629686860 | Amanda Foy | Student in an Organized Health Care Education/Training Program | 600 Moye Blvd, Greenville, NC 27834-4300 | 2020-07-14 |
| 1477179927 | Rebecca Ann Baietto | Student in an Organized Health Care Education/Training Program | 600 Moye Blvd, Greenville, NC 27834 | 2020-06-21 |
| 1720604416 | Dylan Joseph Defauw | Student in an Organized Health Care Education/Training Program | 600 Moye Blvd, Greenville, NC 27834-4300 | 2020-06-18 |
| 1003432790 | Joshua L Mcdaniel | Student in an Organized Health Care Education/Training Program | 600 Moye Blvd, Greenville, NC 27834-4300 | 2020-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841801255 | Nicholas Mcarthur Bennett | Day Training, Developmentally Disabled Services | 302 C, Greenville, NC 27834 | 2020-08-11 |
| 1275150245 | Shelby Renee Jones | Student in an Organized Health Care Education/Training Program | East Carolina University College of Nursing, 600 Moye Blvd, Greenville, NC 27834 | 2020-06-25 |
| 1194347138 | Soban Ahmad | Student in an Organized Health Care Education/Training Program | 600 Moye Blvd., Vmc Ma Room 350. Internal Medicine Resi, Mailstop #734, Greenville, NC 27834 | 2020-05-13 |
| 1427687789 | Brandon Allen Yates | Student in an Organized Health Care Education/Training Program | 435 Clinic Drive, Greenville, NC 27834 | 2020-04-07 |
| 1144854407 | Kristen Springer Dreyfus | Marriage & Family Therapist | 2609 West Arlington Blvd Suite 106, Greenville, NC 27834 | 2020-02-26 |
| 1861038606 | Southern Surgical Outpatient Surgery Center, Pa | Clinic/Center | 2457 Emerald Place, Greenville, NC 27834 | 2019-11-26 |
| 1003460569 | Shaun Fitzpatrick | Nurse Practitioner | Physicians East, Pa 1850 W. Arlington Blvd., Greenville, NC 27834 | 2019-08-01 |
| 1649831496 | Katherine Salome Ross | Genetic Counselor, MS | 524 Moye Blvd, Greenville, NC 27834 | 2019-06-24 |
| 1477011880 | Lauren Bethune Scroggs | Counselor | 2150 West 5th Street, Health Sciences Building Mailstop 688, Greenville, NC 27834 | 2019-03-05 |
| 1669998001 | Idella's Care Home | Community/Behavioral Health | 2912 Lee Ct # 9a, Greenville, NC 27834 | 2017-08-17 |
| Find all providers in zip 27834 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982251138 | Chelsea Neaoma Lyday | Nurse Practitioner | 3005 Joe Ramsey Blvd E, Greenville, TX 75401-7714 | 2019-08-22 |
| 1275704645 | Ashley Ledford Fuller | Nurse Practitioner | 3980 Highway 100, Greenville, GA 30222-2109 | 2008-03-13 |
| 1831371871 | Dana L Silverman | Nurse Practitioner | 45 Stonewold Way, Greenville, DE 19807-2566 | 2007-12-01 |
| 1750369195 | Pamela Larsen | Nurse Practitioner | Pediatric Outpatient Center, 600 Moye Blvd, Greenville, NC 27858 | 2006-01-05 |
| 1114578259 | Jessica Heckart Hardison | Nurse Practitioner | 118 Oakmont Dr, Greenville, NC 27858-5936 | 2019-09-20 |
| 1295380046 | Kathryn A Campbell | Nurse Practitioner | 525 Verdae Blvd Ste 200, Greenville, SC 29607-4021 | 2019-08-08 |
| 1144875501 | Amanda Parker Mitchell | Nurse Practitioner | 913 E Arlington Blvd, Greenville, NC 27858-5864 | 2019-08-02 |
| 1275004491 | Rebecca Bowman | Nurse Practitioner | 300 Bethesda Dr, Greenville, NC 27834-7218 | 2018-12-16 |
| 1053806877 | Claudina Denisse Castillo | Nurse Practitioner | 200 Patewood Dr Ste A330, Greenville, SC 29615 | 2018-06-25 |
| 1952800682 | Arlene Merle | Nurse Practitioner | 2150 Herbert Ct, Greenville, NC 27834-3736 | 2018-02-08 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 27834 |
Please comment or provide details below to improve the information on JACQUELINE S 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.