Jessica L. Davis in Springfield - Physician Assistant
Jessica L. Davis - NPI 1568501112
Jessica L. Davis is a Physician Assistant in Springfield, Missouri. Jessica L. Davis practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jessica L. Davis is 1568501112. The last update date is 2013-11-08.
Jessica L. Davis's current location address is Po Box 2580, Springfield, Missouri. You can contact this provider via phone number 4178294620. The mailing address for Jessica L. Davis is Po Box 2580, Springfield, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jessica L. Davis |
|---|---|
| Address | Po Box 2580, Springfield, Missouri |
| Phone Number | 4178294620 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1568501112 |
|---|---|
| Provider Enumeration Date | 2007-02-06 |
| Last Updated Date | 2013-11-08 |
Provider Mailing Address Detail
| Address | Po Box 2580 |
|---|---|
| City | Springfield |
| State | Missouri (MO) |
| Post Code | 658012580 |
| Phone Number | 4178294620 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 2003002308 |
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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 |
|---|---|---|---|
| P00019946 | MO | RR MCR | |
| 431560263 | MO | TRICARE |
Post Comment/ Review Below
What is the unique identifier code issued to Jessica L. Davis by the Centers for Medicare & Medicaid Services (CMS)?
The Jessica L. Davis has been assigned the NPI (National Provider Identifier) 1568501112. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Jessica L. Davis?
The Jessica L. Davis is physically situated at Po Box 2580, in the city of Springfield, state of MO, with the postal code 658012580.
What is Jessica L. Davis's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jessica L. Davis's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1568501112 to Jessica L. Davis?
The Centers for Medicare & Medicaid Services assigned the 1568501112 to Jessica L. Davis on 2007-02-06.
As of what date were the Jessica L. Davis's details last updated?
The information pertaining to the Jessica L. Davis, including its address, specialty, and other details, was most recently updated on 2013-11-08.
NPI Number: 1962405878
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