Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JERRY HEATH DAVIS, PHARMD, CPP
Active Sole ProprietorPharmacist Clinician (PhC) · BURNSVILLE, NC
Registration Details
- NPI Number
- 1699083436
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 15, 2010 (15.59886418627 yrs)
- Last Updated
- Oct 31, 2022
- Licenses
-
17187 (NC)700404 (NC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
116 SEVEN MILE RIDGE RDBURNSVILLE, NC, 287148509Browse NC providers · Browse ZIP 28714
- Phone
- 8286754116
- Primary Specialty
-
Pharmacist Clinician (PhC)
1835P0018X
- Additional Specialty
- Pharmacist Clinician (PhC)
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.