Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Individual
JACQUELINE DAVIS
Active
Individual
JACQUELINE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3006612
KY
363L00000X
Nurse Practitioner
49086
KY
363L00000X
Nurse Practitioner
71003616A
IN
363LF0000X
Family Nurse Practitioner
3006612
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3006612
LICENSE NUMBER
KY
01
—
71003616A
LICENSE NUMBER
IN
01
—
K151030
MEDICARE PTAN
KY
Enumeration date
06/04/2010
Last updated
06/01/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers