MS. DENISE ALANE DAVIS


Address: 115 Ponderosa Way, Jacksonville, OR 97530
Phone: 5419513720

MS. DENISE ALANE DAVIS (NPI# 1659819621) 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) 1659819621
Entity Type Individual
Full Name MS. DENISE ALANE DAVIS
Other Name DENISE DAHL
Credential FNP-C
Practice Address 115 Ponderosa Way
Jacksonville
OR 97530
Mailing Address 115 Ponderosa Way
Jacksonville
OR 97530-9018
Practice Telephone 5419513720
Mailing Telephone 5419513720
Enumeration Date 2017-02-09
Last Update Date 2017-02-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
201700651NP-PP OR Physician Assistants & Advanced Practice Nursing Providers

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1578987582 Denise Davis Registered Nurse 4549 Bronx Blvd, Bronx, NY 10470-1409 2014-02-11
1366701021 Denise Rhonda Davis Case Manager/Care Coordinator 5133 Penn Ave, Pittsburgh, PA 15224-1615 2012-05-15
1265798284 Denise Davis Home Health Aide 724 Elmira Ave, New Orleans, LA 70114-2409 2012-04-03
1184828709 Denise L Davis Licensed Practical Nurse 136 Greenleaf Mdws, Rochester, NY 14612-4319 2007-06-14
1205038395 Denise Davis Nurse's Aide 1652 South Champion Ave, Columbus, OH 43227 2007-06-01

Office Location

Street Address 115 PONDEROSA WAY
City JACKSONVILLE
State OR
Zip Code 97530

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1083112957 Cody Moss Chiropractor 660 G St Ste A, Jacksonville, OR 97530 2018-01-25
1831640192 Columbiacare Services Community Based Residential Treatment Facility, Mental Illness 8336 Highway 62, White City, OR 97530 2016-10-20
1023444502 Rebecca Lynne Giudili Behavioral Analyst 1425 Humbug Ck Rd, Jacksonville, OR 97530 2013-09-17
1487922381 Ashley Rose Merrill Midwife 235 E. Main St., Jacksonville, OR 97530 2011-12-06
1518135334 Lynn Ellen Reordan Physical Therapist 635 N. 5th St., Jacksonville, OR 97530 2008-02-14
1821289984 Nathan M Tanner Dentist 725 N 5th St Ste 101, Jacksonville, OR 97530 2007-08-05
1467667139 Diana K Helvey Denturist 590 Blackstone Alley, Jacksonville, OR 97530 2007-05-14
1902027295 Michelle Dawn Bienick Naprapath 1881 Humbug Creek Rd, Applegate, OR 97530 2007-05-02
1821121526 Anne Marie Vincent Chiropractor 7370 Hwy 238, Jacksonville, OR 97530 2007-03-13
1073662425 Andrew M Watson Family Medicine 7208 Hwy 238, Jacksonville, OR 97530 2007-01-08
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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1972101137 Amanda Brooke Mills Nurse Practitioner 8459 Oak Crossing Dr W, Jacksonville, FL 32244-6949 2020-10-10
1649877200 Shalom Barile Nurse Practitioner 1377 Ingleside Ave, Jacksonville, FL 32205-7733 2020-10-07
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1063029577 Erica Francisca Andrade Nurse Practitioner 5475 Turkey Creek Rd, Jacksonville, FL 32244-8549 2020-09-29
1568078418 Jennifer Ruth Woodard Nurse Practitioner 29 Trinity Way, Jacksonville, AL 36265-5813 2020-09-16
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Competitor

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City JACKSONVILLE
Zip Code 97530

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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