JORDAN NICHOLE DAVIS


Address: 7035 Pickwell Dr Apt 2100, San Antonio, TX 78223-3385
Phone: 2103914495

JORDAN NICHOLE DAVIS (NPI# 1245864396) 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) 1245864396
Entity Type Individual
Full Name JORDAN NICHOLE DAVIS
Credential PMHNP-BC
Practice Address 7035 Pickwell Dr Apt 2100
San Antonio
TX 78223-3385
Practice Telephone 2103914495
Enumeration Date 2020-02-27
Last Update Date 2020-02-27
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
881494 TX Physician Assistants & Advanced Practice Nursing Providers

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Office Location

Street Address 7035 PICKWELL DR APT 2100
City SAN ANTONIO
State TX
Zip Code 78223-3385

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NPI Name Taxonomy Address Enumeration
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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1447714274 Suzanne Perakathu Nurse Practitioner 7122 Stonewall Hill, San Antonio, TX 78256 2019-01-25
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Competitor

Search similar providers

City SAN ANTONIO
Zip Code 78223

Improve Information

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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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