DR. JACQUELINE WILLIAMS DAVIS


Address: 200 Georgia Ave, Valdosta, GA 31698
Phone: 2292193205

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).

Provider Overview

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

Taxonomy

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

Other Providers JACQUELINE DAVIS

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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

Office Location

Street Address 200 GEORGIA AVE
City VALDOSTA
State GA
Zip Code 31698

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 1835P0018X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Taxonomy Definition

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]

Providers in the same taxonomy and state

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
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Competitor

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City VALDOSTA
Zip Code 31698

Improve Information

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Dataset Information

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.

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