MRS. JACQUELINE JUNE DAVIS NURSE PRACTITIONER NPI 1972886943

NPI Information

  • NPI: 1972886943
  • Provider Name: MRS. JACQUELINE JUNE DAVIS, NURSE PRACTITIONER
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 2912 SPRINGBORO RD
    MORAINE, OH
    ZIP 45439
  • Phone: (937) 297-8999

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NPI Details

MRS. Jacqueline June Davis, NURSE PRACTITIONER is a family nurse practitioner in Moraine, OH. MRS. Jacqueline June Davis, NURSE PRACTITIONER NPI is 1972886943. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2912 SPRINGBORO RD
MORAINE, OH
ZIP 45439-674
Phone: (937) 297-8999
Fax: (937) 277-8618

The enumeration date for this NPI number is 9/26/2011 and was last updated on 12/5/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyCOA. 12542-NPOHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10054352MEDICAIDOHIO
2421534506182OTHEROHIOCARESROUCE OHIO
3000000742437OTHEROHIOANTHEM BCBS OHIO
4H054520MEDICARE PINOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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