Davis, Jacqueline Smith
Davis, Jacqueline Smith is an individual health care provider with primary practice located at 2001 Todays Woman Ave , Winston Salem NC 27105-5069. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Davis, Jacqueline Smith can be contacted via phone (336) 722-1818.Contact Information
Primary practice address
2001 Todays Woman Ave
Winston Salem NC 27105-5069
Phone: (336) 722-1818
Fax: (336) 722-1826
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 104882 | North Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 5001629 | North Carolina |
Profile Details
| NPI number | 1891840120 |
|---|---|
| LBN Legal business name | Davis, Jacqueline Smith |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 25th, 2007 |
| Last updated | May 8th, 2024 - about 7 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891840120 | NPPES |
| North Carolina | Other | 196292 | MEDCOST |
| North Carolina | Other | NN2912 | MEDCOST |
| North Carolina | Other | 9185097 | MEDCOST |
| North Carolina | Other | 181GT | MEDCOST |
| North Carolina | MEDICAID | 7003982 | MEDCOST |
Popular Providers
-
Williams, Tomika Michele
Medical Center Blvd , Winston Salem NC 27157-8601 -
Thongteum, Boonpon
186 Kimel Park Dr , Winston-Salem NC 27103-6946 -
Lorentz, Suzy Gibson
1351 Westgate Center Dr Dba Forsyth Pediatric Associates - Westgate, Winston Salem NC 27103-2934 -
Shoffner, Leanne Jessup
1010 Bethesda Ct , Winston Salem NC 27103-3019 -
Dillon, Amy Denise
3333 Silas Creek Pkwy , Winston Salem NC 27103-3013 -
Vannoy, Sharon Queen
105 Vest Mill Cir , Winston-Salem NC 27103-2943 -
Farrell, Megan R.
1350 Whitaker Ridge Dr , Winston Salem NC 27106-4966 -
Surrett, Cindy M
1351 Westgate Center Dr , Winston-Salem NC 27103-2934