KEJUAN DESHAWN DAVIS (NPI# 1003457680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003457680 |
| Entity Type | Individual |
| Full Name | KEJUAN DESHAWN DAVIS |
| Practice Address |
7401 Parkland Redford MI 48239-1015 |
| Mailing Address |
17583 Hartwell St Detroit MI 48235-2639 |
| Practice Telephone | 3139142117 |
| Mailing Telephone | 3132866790 |
| Enumeration Date | 2019-10-04 |
| Last Update Date | 2019-10-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172A00000X | Driver | Other Service Providers |
| Street Address |
7401 PARKLAND |
| City | REDFORD |
| State | MI |
| Zip Code | 48239-1015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942849856 | Court'nee Ann Desmond | Nurse Practitioner | 14761 Telegraph Rd, Redford, MI 48239 | 2019-12-26 |
| 1891250239 | Sun Valley Pharmacy LLC | Pharmacy | 9291 Telegraph Rd, Redford, MI 48239 | 2019-02-08 |
| 1003343369 | Lucinda Pryor | Nurse Practitioner | 14210 Marion, Redford, MI 48239 | 2017-05-17 |
| 1740725274 | Georgetta W Bond | Technician, Other | 12770 Hemingway, Redford, MI 48239 | 2016-12-19 |
| 1508318015 | Doris Mckinney | Counselor | Lincoln Behavioral Services - 9315 Telegraph, Redford, MI 48239 | 2016-10-31 |
| 1609282110 | Rosaundra Tanika Pope | Home Health | 9989 Royal Grand, Redford, MI 48239 | 2014-07-03 |
| 1497170179 | Courtney Ritchie | General Practice | 24435 Plymouth Rd, Redford, MI 48239 | 2014-03-04 |
| 1003168592 | Alicia Monique Lurry | Counselor | 8171 Parkland, Detroit, MI 48239 | 2012-10-08 |
| 1407116080 | Ariss Tiffani Pierce | Physical Therapist | 14615 Telegraph Rd Ste 1, Redford, MI 48239 | 2012-05-17 |
| 1205144409 | Steven Thomas Haynes | Counselor | 7411 Parkland, Redford, MI 48239 | 2010-09-22 |
| Find all providers in zip 48239 | ||||
| Taxonomy Code | 172A00000X |
| Grouping | Other Service Providers |
| Classification | Driver |
| A person employed to operate a motor vehicle as a carrier of persons or property. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942717251 | Danielle Mcdaniel | Driver | 9315 Telegraph Rd, Redford, MI 48239-1260 | 2018-01-08 |
| 1508275686 | Sharon Denise Parrish | Driver | 24347 Orangelawn, Redford, MI 48239-1666 | 2014-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639791080 | Hussein Nasser | Driver | 6115 College Dr, Dearborn Heights, MI 48127-2553 | 2020-05-08 |
| 1619503687 | Sherri Roquel Beaver | Driver | 3330 Van Horn Rd Apt 146, Trenton, MI 48183-4019 | 2020-03-20 |
| 1891321345 | Rosie F Beasley | Driver | 4458 Grayton St, Detroit, MI 48224-4006 | 2020-03-17 |
| 1326673443 | Carina S Daniel | Driver | 195 Waverly St, Highland Park, MI 48203-3270 | 2020-03-09 |
| 1619502044 | Nicole R Beecher | Driver | 26211 Central Park Blvd Ste 116, Lathrup Village, MI 48076-4107 | 2020-03-05 |
| 1891329686 | Jasmine Withers | Driver | 45835 Brownell St, Apt 9, Utica, MI 48317 | 2020-03-02 |
| 1437781242 | Candice Denise Pointer | Driver | 20518 W Warren Ave, Detroit, MI 48228-3243 | 2020-02-10 |
| 1467099267 | Spectrum Transportion of Grand Rapids | Driver | 7700 Fox Haven Ct Se, Ada, MI 49301-8637 | 2019-11-30 |
| 1568019453 | Marlena Renee Jackson | Driver | 26967 Carly Dr, Brownstown, MI 48174-2539 | 2019-08-24 |
| 1669028569 | Deandre Lavelle Hughes | Driver | 706 Patterson Ave, Bay City, MI 48706-4194 | 2019-08-15 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.