JACLYN DAVIS (NPI# 1194375659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194375659 |
| Entity Type | Individual |
| Full Name | JACLYN DAVIS |
| Practice Address |
10526 Sw Otis Walden Rd Clarksville FL 32430-2665 |
| Practice Telephone | 8505323244 |
| Mailing Telephone | 8505323244 |
| Enumeration Date | 2019-09-17 |
| Last Update Date | 2019-09-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477833176 | Jaclyn Michelle Davis | Psychologist | 1515 S Capital of Texas Hwy Ste 200, Austin, TX 78746-6544 | 2011-08-25 |
| 1285937656 | Jaclyn Davis | Massage Therapist | 127 N Chestnut St, Assumption, IL 62510-1003 | 2010-12-07 |
| 1366074395 | Jaclyn Davis | Community/Behavioral Health | 148 Warren St, Lowell, MA 01852-2208 | 2020-02-07 |
| 1194238717 | Jaclyn Marie Davis | Occupational Therapist | 267 Grant St, Bridgeport, CT 06610-2805 | 2017-11-06 |
| 1700237955 | Jaclyn Irene Davis | Pediatrics | Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114 | 2016-06-29 |
| 1750682621 | Jaclyn A Davis | Counselor | 145 1st St, Fort Lupton, CO 80621-2002 | 2010-11-09 |
| 1346566551 | Jaclyn Leigh Davis | Emergency Medicine | 1000 Blythe Blvd, Charlotte, NC 28203-5812 | 2010-04-13 |
| 1578720686 | Jaclyn Carey Davis | Pediatrics | 1 Gustave L Levy Place, Box 1208, New York, NY 10029-6574 | 2008-05-19 |
| Street Address |
10526 SW OTIS WALDEN RD |
| City | CLARKSVILLE |
| State | FL |
| Zip Code | 32430-2665 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336755040 | Lana Lee Williams | Assistant Behavior Analyst | 21220 Nw Janney Rd, Clarksville, FL 32430-2122 | 2020-09-17 |
| 1710036017 | James D Oenbrink | Otolaryngology | 10048 State Road 20 W, Clarksville, FL 32430-3166 | 2007-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417557380 | Ironwood Dental | Clinic/Center | 2550 Madison St, Clarksville, TN 37043-3704 | 2020-10-29 |
| 1043810849 | Olushola Taiwo Adekoya | Nurse Practitioner | 6909 Crossfield Ct, Clarksville, MD 21029-1749 | 2020-10-29 |
| 1629677307 | Samantha Kate Wacenske | Counselor | 1925 Ashland City Rd Apt 1422, Clarksville, TN 37043-1610 | 2020-10-22 |
| 1659970960 | Lyndsey Cooper | Dietitian, Registered | 1060 W Creek Coyote Trl Apt 1507, Clarksville, TN 37042-8267 | 2020-10-19 |
| 1356948509 | Meagan H Jones | Counselor | 3328 Mallard Dr, Clarksville, TN 37042-4754 | 2020-10-01 |
| 1982211421 | Jason Joseph | Massage Therapist | 173 Whitman Aly, Clarksville, TN 37043-6340 | 2020-09-29 |
| 1447867114 | Tricia M Love | Massage Therapist | 4755 Highway 31 E Unit B, Clarksville, IN 47129-9220 | 2020-09-28 |
| 1750997912 | Steven W Spalding | Massage Therapist | 4755 Us-31 East, Clarksville, IN 47129 | 2020-09-22 |
| 1336755040 | Lana Lee Williams | Assistant Behavior Analyst | 21220 Nw Janney Rd, Clarksville, FL 32430-2122 | 2020-09-17 |
| 1255946463 | Independent Physical Therapy, LLC | Occupational Therapist | 1011 Winn Way Ste 110, Clarksville, TN 37043-0614 | 2020-09-14 |
| Find all providers in CLARKSVILLE | ||||
| Taxonomy Code | 3747A0650X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Attendant Care Provider |
| An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295384956 | Dena Marie Borchick | Technician | 3779 Cindy Jo Dr. N, Clarksville, TN 37040 | 2019-09-05 |
| 1952958464 | Barbara Gallahan | Technician | 3992 Lakewood Dr., Clarksville, TN 37043 | 2019-08-20 |
| 1831722941 | Marcie Theresa Wolter | Technician | 118 Union St, Clarksville, TN 37040-5115 | 2020-02-17 |
| 1588156673 | Sarah Gilleran | Technician | 118 Union St, Clarksville, TN 37040-5115 | 2018-06-04 |
| 1326436684 | Anna Kamps | Technician | 118 Union St, Clarksville, TN 37040-5115 | 2015-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699388801 | Tara Danielle Burgett | Technician | 6437 Maddox Rd, Milton, FL 32570-6327 | 2020-08-26 |
| 1932711678 | Julie Jayne Christofferson | Technician | 4009 Deerwood Cir, Pace, FL 32571-1108 | 2020-08-22 |
| 1386252062 | Rosa M Stephens | Technician | 6002 Vel St, Wimauma, FL 33598-3021 | 2020-07-17 |
| 1487279121 | Michelle Hill | Technician | 75 N Gulf Ave, Crystal River, FL 34429-7611 | 2020-06-09 |
| 1487278628 | Marcia Marie Long | Technician | 454 Georgetown Shortcut Rd, Crescent City, FL 32112-4504 | 2020-06-03 |
| 1740802289 | Anna Marie Cruttenden | Technician | 4336 Sablan Ln, Milton, FL 32583-2470 | 2020-05-06 |
| 1619597507 | Lula Curry | Technician | 106 W Jersey Ave, Brandon, FL 33510-3130 | 2020-04-21 |
| 1447879721 | Bretton Hill | Technician | 1227 Rolling Stone Run, Odessa, FL 33556-6040 | 2020-04-16 |
| 1770119653 | Stephanie J Crenshaw | Technician | 2154 Waseca Ln, Leesburg, FL 34748-3059 | 2020-03-23 |
| 1770118259 | Tatiyana Anisimova | Technician | 2605 Casa Dr, New Port Richey, FL 34655-2235 | 2020-03-05 |
| Find all providers with the same taxonomy | ||||
| City | CLARKSVILLE |
| Zip Code | 32430 |
Please comment or provide details below to improve the information on JACLYN DAVIS.
| 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.