DR. JACQUELINE WILLIAMS DAVIS (NPI# 1962726687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962726687 |
Entity Type | Individual |
Full Name | DR. JACQUELINE WILLIAMS DAVIS |
Credential | PHARM D |
Practice Address |
200 Georgia Ave Valdosta GA 31698 |
Mailing Address |
4506 Timberbrook Trl Valdosta GA 31602-6763 |
Practice Telephone | 2292193205 |
Mailing Telephone | 2292599691 |
Enumeration Date | 2010-03-24 |
Last Update Date | 2010-03-24 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
14678 | AL | Pharmacy Service Providers |
N | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
PS27841 | FL | Pharmacy Service Providers |
Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
RPH017508 | GA | Pharmacy 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 |
1467574954 | Jacqueline Bryant Davis | Speech-Language Pathologist | 3572 N Tanglewood Ln, Shelbyville, IN 46176-9444 | 2007-04-04 |
Street Address |
200 GEORGIA AVE |
City | VALDOSTA |
State | GA |
Zip Code | 31698 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811474828 | Heather Whitney Mcmanis | Nurse Practitioner | 200 Georgia Ave, Valdosta, GA 31602-3843 | 2018-07-23 |
1083132484 | Valdosta State University | Pharmacy | 200 Georgia Ave, Valdosta, GA 31698-3843 | 2017-09-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801189402 | Valdosta State University Student Health Services | Registered Nurse | 200 Georgia Avenue, Valdosta, GA 31698 | 2011-05-16 |
1073025961 | Maci Dee Fox | Specialist/Technologist | 605 W Mary Street, Valdosta, GA 31698-0001 | 2017-10-31 |
1073598157 | Frances M. Youmans | Nurse Practitioner | 1515 N Patterson St, Valdosta, GA 31698-0050 | 2005-12-12 |
1275506610 | Stacey Diane Walters | Specialist/Technologist | 1500 N Patterson St, Dept. Kpe, Valdosta, GA 31698-0100 | 2006-02-08 |
1174161012 | Emily C Hoyt | Specialist/Technologist | 1500 N Patterson St, Valdosta, GA 31698-0100 | 2019-12-11 |
1710541057 | Jason Jacoby | Specialist/Technologist | 1500 N Patterson St, Valdosta, GA 31698-0100 | 2019-04-23 |
1326601295 | Chase Kriebel | Specialist/Technologist | 1500 N Patterson St, Valdosta, GA 31698-0100 | 2019-04-17 |
1013401264 | Joshua Hoffmann | Specialist/Technologist | 1500 N Patterson St, Valdosta, GA 31698-0100 | 2018-06-20 |
1295227932 | Art Dewayne Freeman II | Specialist/Technologist | 1500 N Patterson St, Valdosta, GA 31698-0100 | 2018-05-30 |
1871985762 | Malcolm Brown | Specialist/Technologist | 1500 N Patterson St, Athletic Field House Room 1018, Valdosta, GA 31698-0100 | 2015-03-02 |
Find all providers in zip 31698 |
Taxonomy Code | 1835P0018X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306445747 | Hiep Hoang Do | Pharmacist | 801 Burns Estates Dr, Lilburn, GA 30047-3484 | 2020-10-17 |
1518565902 | Edward Edeh | Pharmacist | 1232 South Hairstoh Road, Stone Mountain, GA 30088 | 2020-10-16 |
1548868342 | Jackson Gathuru Ngugi | Pharmacist | 193 Anniversary Ln, Acworth, GA 30102-2045 | 2020-10-14 |
1568086494 | Lynn Berner Marshall | Pharmacist | 3823 Club Forest Dr, Peachtree Corners, GA 30092-2369 | 2020-06-06 |
1295357325 | Rhonda Ireland | Pharmacist | 125 Main Street Marketplace, Cartersville, GA 30120 | 2020-05-12 |
1073132676 | Khushboo S Rhodes | Pharmacist | 3101 Roswell Rd Ste 132, Marietta, GA 30062-5523 | 2020-04-14 |
1194354647 | Deanna W Mcewen | Pharmacist | 1720 Epps Bridge Road, Athens, GA 30606-6132 | 2020-04-06 |
1104452663 | Latrena Solomon | Pharmacist | 1750 Highway 138 E, Stockbridge, GA 30281-2810 | 2020-03-17 |
1497389597 | Rx Healthcare Ltd | Pharmacist | 2136 W Park Ct Ste I, Stone Mountain, GA 30087-3528 | 2020-02-27 |
1972136273 | Shannon Sulik | Pharmacist | 774 Highway 96, Bonaire, GA 31005-3300 | 2020-02-15 |
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.