Jennifer Starr Davis in Melbourne - Physician Assistant
Jennifer Starr Davis - NPI 1790976330
Jennifer Starr Davis is a Physician Assistant in Melbourne, Florida. Jennifer Starr Davis practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jennifer Starr Davis is 1790976330. The last update date is 2023-08-28.
Jennifer Starr Davis's current location address is Po Box 361095, Melbourne, Florida. You can contact this provider via phone number 3212547717 and fax number 3214284526. The mailing address for Jennifer Starr Davis is Po Box 361095, Melbourne, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer Starr Davis |
|---|---|
| Address | Po Box 361095, Melbourne, Florida |
| Phone Number | 3212547717 |
| Fax Number | 3214284526 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1790976330 |
|---|---|
| Provider Enumeration Date | 2007-08-08 |
| Last Updated Date | 2023-08-28 |
Provider Mailing Address Detail
| Address | Po Box 361095 |
|---|---|
| City | Melbourne |
| State | Florida (FL) |
| Post Code | 329361095 |
| Phone Number | 3212547717 |
| Fax Number | 3214284526 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 4357 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| Y04VT | FL | FLORIDA BLUE (BCBS OF FL) | |
| P01165507 | FL | RR MEDICARE |
Post Comment/ Review Below
What is the Jennifer Starr Davis's 1790976330?
The Jennifer Starr Davis's NPI (National Provider Identifier) Number is 1790976330. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Jennifer Starr Davis?
The Jennifer Starr Davis is physically situated at Po Box 361095, in the city of Melbourne, state of FL, with the postal code 329361095.
What is the Jennifer Starr Davis's area of specialization and corresponding taxonomy classification?
The Jennifer Starr Davis's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.
When did Jennifer Starr Davis receive its 1790976330 assignment?
The Jennifer Starr Davis was assigned its 1790976330 on 2007-08-08, which is the date when this unique identifier was issued to the organization.
As of what date were the Jennifer Starr Davis's details last updated?
The information pertaining to the Jennifer Starr Davis, including its address, specialty, and other details, was most recently updated on 2023-08-28.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY