Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNIFER STARR DAVIS, PA-C
DeactivatedJENNIFER STARR DAVIS, PA-C is a Physician Assistant healthcare provider located in STUART, Florida. NPI 1790976330 is deactivated in the NPPES registry. Verify at CMS.
Physician Assistant · STUART, FL
This NPI has been deactivated.
The record was deactivated on February 22, 2019.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1790976330
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 8, 2007 (11.542465753425 yrs)
- Last Updated
- Jul 27, 2024
- Deactivated
- Feb 22, 2019
- Licenses
-
4357 (AZ)9104207 (FL)
Practice Information
- Address
-
2220 SE OCEAN BLVD STE 301STUART, FL, 349963301Browse FL providers · Browse ZIP 34996
- Phone
- 7722203339
- Fax
- 7722862635
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in STUART, FL
| Name | Credential | NPI |
|---|---|---|
| CLARENCE RICHARD GRAVES III | PA-C | 1568468437 |
| THOMAS W ULRICH | P.A.-C | 1821046376 |
| SANDRA E MONTIE | P.A.-C. | 1760435986 |
| PETER T VO | P.A.-C | 1982646956 |
| MARK KENNETH DICARLO | PA | 1710902606 |
| RAIZA RODRIGUEZ | PA-C | 1164446290 |
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.