Davis, Jackie B

Davis, Jackie B is an individual health care provider with primary practice located at 1630 Se 18Th St Bldg 300, Ocala FL 34471-5471. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Davis, Jackie B can be contacted via phone (352) 620-2229.

Contact Information

Primary practice address
1630 Se 18Th St Bldg 300 Ocala FL 34471-5471
Phone: (352) 620-2229
Fax: (352) 620-8833
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X ARNP1647842 Florida

Profile Details

NPI number 1881606366
LBN Legal business name Davis, Jackie B
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2006
Last updated Apr 16th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881606366 NPPES
Florida MEDICAID 033850800

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