# MR. JEFFERY SCOTT DAVIS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1639402738
- **Gender:** Man
- **Credential:** APN RN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LF0000X | Family Nurse Practitioner | 147666 | MO | — |
| 363LF0000X | Family Nurse Practitioner | 277002897 | IL | — |
| 363LF0000X | Family Nurse Practitioner | 867801 | NV | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 147666 | MO | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 277002897 | IL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 867801 | NV | — |

## Other

- **Enumeration date:** 09/08/2009
- **Last updated:** 03/01/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 209007722 | — | IL |