Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DERECK DAVIS
ActiveDR. DERECK DAVIS is a Pediatrics healthcare provider located in JACKSON, Mississippi. NPI 1174567580 is currently active in the NPPES registry. Verify at CMS.
Pediatrics · JACKSON, MS
Registration Details
- NPI Number
- 1174567580
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 15, 2006 (20.126272279496 yrs)
- Last Updated
- Aug 11, 2014
- Licenses
-
2007-00180 (NC)18418 (MS)
Practice Information
- Address
-
2600 N STATE STJACKSON, MS, 392164301Browse MS providers · Browse ZIP 39216
- Phone
- 6019845220
- Fax
- 6019845279
- Primary Specialty
-
Pediatrics
208000000X
- Additional Specialty
- Pediatrics
Other Pediatrics Providers in JACKSON, MS
| Name | Credential | NPI |
|---|---|---|
| DR. MELYNDA C NOBLE | MD | 1598734808 |
| DR. KENNETH AARON YUNG | MD | 1598712994 |
| DR. GERALDINE CHANEY | MD | 1699716241 |
| MS. SARA JOSEPHINE WEISENBERGER | M.D. | 1073555660 |
| DR. JOHN JOEL DONALDSON | M.D. FAAP | 1922040310 |
| DR. LYNDA JACKSON-ASSAD | — | 1790729119 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.