Jacqueline Eileen Davis in Louisville - Physician Assistant
Jacqueline Eileen Davis - NPI 1245402262
Jacqueline Eileen Davis is a Physician Assistant in Louisville, Kentucky. Jacqueline Eileen Davis practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jacqueline Eileen Davis is 1245402262. The last update date is 2019-03-21.
Jacqueline Eileen Davis's current location address is 3 Audubon Plaza Dr Ste 430, Louisville, Kentucky. You can contact this provider via phone number 5026364900 and fax number 5026364901. The mailing address for Jacqueline Eileen Davis is 3 Audubon Plaza Dr Ste 430, Louisville, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jacqueline Eileen Davis |
|---|---|
| Address | 3 Audubon Plaza Dr Ste 430, Louisville, Kentucky |
| Phone Number | 5026364900 |
| Fax Number | 5026364901 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1245402262 |
|---|---|
| Provider Enumeration Date | 2008-03-31 |
| Last Updated Date | 2019-03-21 |
Provider Mailing Address Detail
| Address | 3 Audubon Plaza Dr Ste 430 |
|---|---|
| City | Louisville |
| State | Kentucky (KY) |
| Post Code | 40217 |
| Phone Number | 5026364900 |
| Fax Number | 5026364901 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
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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 |
|---|---|---|---|
| 7100054590 | KY | -- | |
| 50022601 | KY | PASSPORT HEALTH PLAN |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Jacqueline Eileen Davis by the Centers for Medicare & Medicaid Services?
The Jacqueline Eileen Davis has been assigned the NPI (National Provider Identifier) 1245402262 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Jacqueline Eileen Davis?
The Jacqueline Eileen Davis is physically situated at 3 Audubon Plaza Dr Ste 430, in the city of Louisville, state of KY, with the postal code 40217.
What is the Jacqueline Eileen Davis's specialty and taxonomy code?
The Jacqueline Eileen Davis's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
On what date was the 1245402262 assigned to Jacqueline Eileen Davis?
The Jacqueline Eileen Davis was issued its 1245402262 on 2008-03-31, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Jacqueline Eileen Davis most recently updated or revised?
The details related to Jacqueline Eileen Davis, including its address, specialty, and other relevant information, were last updated or revised on 2019-03-21.
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