Jill Davis is a Physician Assistant in Durham, North Carolina. Jill Davis practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jill Davis is 1619033446. The last update date is 2009-05-05.
Jill Davis's current location address is Dumc 3158, Durham, North Carolina. You can contact this provider via phone number 9196845118 and fax number 9196681559. The mailing address for Jill Davis is Dumc 3158, Durham, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jill Davis |
|---|---|
| Address | Dumc 3158, Durham, North Carolina |
| Phone Number | 9196845118 |
| Fax Number | 9196681559 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1619033446 |
|---|---|
| Provider Enumeration Date | 2006-12-28 |
| Last Updated Date | 2009-05-05 |
Provider Mailing Address Detail
| Address | Dumc 3158 |
|---|---|
| City | Durham |
| State | North Carolina (NC) |
| Post Code | 277100001 |
| Phone Number | 9196845118 |
| Fax Number | 9196681559 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 085-002554 |
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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 |
|---|---|---|---|
| 3932056 | IL | BCBS | |
| 7210895 | IL | AETNA | |
| 733354 | IL | HEALTHLINK | |
| 109260 | IL | HAMP INS. # |
Post Comment/ Review Below
What is the Jill Davis's 1619033446?
The Jill Davis's NPI (National Provider Identifier) Number is 1619033446. 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 Jill Davis?
The Jill Davis is physically situated at Dumc 3158, in the city of Durham, state of NC, with the postal code 277100001.
What is Jill Davis's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jill Davis's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
On what date was the 1619033446 assigned to Jill Davis?
The Jill Davis was issued its 1619033446 on 2006-12-28, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Jill Davis's information last updated?
The Jill Davis's information was last updated on 2009-05-05.