Jacqueline S Davis in Winston Salem - Pediatrics

Jacqueline S Davis - NPI 1891840120

Jacqueline S Davis is a Pediatrics in Winston Salem, North Carolina. Jacqueline S Davis practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Jacqueline S Davis is 1891840120. The last update date is 2022-04-18.

Jacqueline S Davis's current location address is 2001 Todays Woman Ave, Winston Salem, North Carolina. You can contact this provider via phone number 3367221818 and fax number 3367221826. The mailing address for Jacqueline S Davis is 2001 Todays Woman Ave, Winston Salem, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Jacqueline S Davis
Address 2001 Todays Woman Ave, Winston Salem, North Carolina
Phone Number 3367221818
Fax Number 3367221826
Sole Proprietor N
Credentials NP

NPI Number Detail

NPI Number 1891840120
Provider Enumeration Date 2007-01-25
Last Updated Date 2022-04-18

Provider Mailing Address Detail

Address 2001 Todays Woman Ave
City Winston Salem
State North Carolina (NC)
Post Code 271055069
Phone Number 3367221818
Fax Number 3367221826

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 363Lp0200X
Licence No 104882
Definition:
An advanced practice registered nurse expert in providing care to infants, children and adolescents.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
196292 NC MEDCOST
NN2912 NC MEDICARE
9185097 NC AETNA
181GT NC BCBS OF NC
7003982 NC --

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FAQs about Jacqueline S Davis

What is the Jacqueline S Davis's unique identification number?

The Jacqueline S Davis has been assigned the NPI (National Provider Identifier) Number 1891840120 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical address where Jacqueline S Davis is geographically located?

The Jacqueline S Davis is physically situated at the following location: 2001 Todays Woman Ave, Winston Salem, NC, 271055069.

What is Jacqueline S Davis's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Jacqueline S Davis is Pediatrics, and the taxonomy code that classifies this field of practice is 363Lp0200X.

On what date was the 1891840120 assigned to Jacqueline S Davis?

The Jacqueline S Davis was issued its 1891840120 on 2007-01-25, 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 S Davis most recently updated or revised?

The details related to Jacqueline S Davis, including its address, specialty, and other relevant information, were last updated or revised on 2022-04-18.

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