Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACQUELINE VIOLET DAVIS
Active Sole ProprietorDR. JACQUELINE VIOLET DAVIS is a Gerontological Nurse Practitioner healthcare provider located in FREEPORT, New York. NPI 1710687678 is currently active in the NPPES registry. Verify at CMS.
Gerontological Nurse Practitioner · FREEPORT, NY
Registration Details
- NPI Number
- 1710687678
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 8, 2023 (3.4737255769125 yrs)
- Last Updated
- Mar 8, 2023
- License
-
582057-1 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
642 MILLER AVEFREEPORT, NY, 115206313Browse NY providers · Browse ZIP 11520
- Phone
- 3476106206
- Primary Specialty
-
Gerontological Nurse Practitioner
363LG0600X
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.