Davis, Jacqueline

Davis, Jacqueline is an individual health care provider with primary practice located at 1804 E 10Th St , Jeffersonville IN 47130-6016. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Davis, Jacqueline can be contacted via phone (812) 288-2488.

Contact Information

Primary practice address
1804 E 10Th St Jeffersonville IN 47130-6016
Phone: (812) 288-2488
Fax: (812) 288-6603
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71003616A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 49086 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3006612 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 3006612 Kentucky

Profile Details

NPI number 1871813550
LBN Legal business name Davis, Jacqueline
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2010
Last updated Jun 1st, 2017 - about 8 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 1871813550 NPPES
Kentucky Other 3006612 LICENSE NUMBER
Kentucky Other K151030 LICENSE NUMBER
Kentucky Other 71003616A LICENSE NUMBER

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