JAYNE M. DAVIDSON


Address: 77 W Forest Ave Ste 202, Flagstaff, AZ 86001-1483
Phone: 9272136439

JAYNE M. DAVIDSON (NPI# 1184109456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184109456
Entity Type Individual
Full Name JAYNE M. DAVIDSON
Credential RN.CDE.
Practice Address 77 W Forest Ave Ste 202
Flagstaff
AZ 86001-1483
Practice Telephone 9272136439
Mailing Telephone 9272136439
Enumeration Date 2018-10-02
Last Update Date 2018-10-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WD0400X Registered Nurse
Specialization: Diabetes Educator
RN051849 AZ Nursing Service Providers

Office Location

Street Address 77 W FOREST AVE STE 202
City FLAGSTAFF
State AZ
Zip Code 86001-1483

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NPI Name Taxonomy Address Enumeration
1265909816 Wendy G Bourne Registered Nurse 77 W Forest Ave Ste 202, Flagstaff, AZ 86001-1483 2018-10-31

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Taxonomy Information

Taxonomy Code 163WD0400X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Diabetes Educator

Taxonomy Definition

Definition to come...

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1700223823 Karren Anntonett Lee Registered Nurse Navajo Route 12 and 7, Fort Defiance Indain Hospital, Fort Defiance, AZ 86504 2013-05-30
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1144510363 Maureen Catharine Kappler Registered Nurse Savahcs 0 151, 3601 South 6th Avenue, Tucson, AZ 85723-0001 2011-04-08
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Competitor

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City FLAGSTAFF
Zip Code 86001

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Dataset Information

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.

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