JACKSON DAVIS


Address: 508 Fulton St, Durham, NC 27705-3875
Phone: 9192866874

JACKSON DAVIS (NPI# 1750918470) 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) 1750918470
Entity Type Individual
Full Name JACKSON DAVIS
Practice Address 508 Fulton St
Durham
NC 27705-3875
Mailing Address 2197 Eagle Trace Ln
Woodbury
MN 55129-4287
Practice Telephone 9192866874
Mailing Telephone 9497057395
Enumeration Date 2020-03-24
Last Update Date 2020-03-24
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2251X0800X Physical Therapist
Specialization: Orthopedic
Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Providers JACKSON DAVIS

NPI Name Taxonomy Address Enumeration
1225434848 Jackson Lee Davis IIi Preventive Medicine 4121 Minnesota Ave Ne, Washington, DC 20019-3572 2014-11-10

Office Location

Street Address 508 FULTON ST
City DURHAM
State NC
Zip Code 27705-3875

Providers in the same location

NPI Name Taxonomy Address Enumeration
1043217086 Stuart Hall Manning Internal Medicine 508 Fulton St, C/o Durham Va Medical Center, Durham, NC 27705-3875 2005-07-06
1245839083 Jessica Elizabeth Cornett Recreation Therapist 508 Fulton St, Durham, NC 27705-3875 2020-10-22
1043819808 Rebecca Parker Maccioli Recreation Therapist 508 Fulton St, Durham, NC 27705-3875 2020-10-22
1174122055 Aline Xayasouk Occupational Therapist 508 Fulton St, Durham, NC 27705-3875 2020-10-21
1730786187 Kathryn Masincupp Pharmacist 508 Fulton St, Durham, NC 27705-3875 2020-10-07
1700490349 Sarah Elizabeth Parker Nurse Practitioner 508 Fulton St, Durham, NC 27705-3875 2020-09-01
1144833716 Phillip Charles Tampis Pharmacist 508 Fulton St, Durham, NC 27705-3875 2020-08-24
1164033445 Alexandra Demascole Social Worker 508 Fulton St, Durham, NC 27705-3875 2020-08-11
1386254498 Krishna Rana Pharmacist 508 Fulton St, Durham, NC 27705-3875 2020-08-04
1730799842 Jinah Han Pharmacist 508 Fulton St, Durham, NC 27705-3875 2020-08-04
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295371755 Tyler Beach, Lcsw, Pllc Social Worker 2740 Spencer Street, Durham, NC 27705 2019-11-20
1720635477 Brittany W Fry Registered Nurse 2301 Erwin Road, Hafs Building, Room 6670, Durham, NC 27705 2019-08-19
1760968044 Nicole D Moore Social Worker 1921 N. Pointe Dr, Suite 280, Durham, NC 27705 2018-07-19
1144757097 Emileigh S Dowling Physical Therapist 3475 Erwin Rd Bldg 2, Durham, NC 27705 2017-05-22
1487195350 Daniel Lynch Physical Therapist 3475 Erwin Road, Pepsico Building, Durham, NC 27705 2017-03-13
1780131839 Michael A Fitzpatrick Iv Physical Therapist 3475 Erwin Rd Bldg 2nd, Durham, NC 27705 2016-09-07
1609241736 Julia Power Constant Physician Assistant Dumc Box 3913, Durham, NC 27705 2015-12-01
1518344159 Amanda Clark Coniglio Internal Medicine 2301 Erwin Rd # 3845, Durham, NC 27705 2015-05-04
1720486988 Jennifer Dawn Pace Physician Assistant 1821 Hillandale Road Suite 24a, Duke Urgent Care, Durham, NC 27705 2014-12-19
1942612106 Rachel Hibberd Psychologist 508 Fulton Avenue, Durham Va Medical Center, Durham, NC 27705 2014-05-22
Find all providers in zip 27705

Taxonomy Information

Taxonomy Code 2251X0800X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Physical Therapist
Specialization Orthopedic

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1679132690 Demario Sharrod Lewis Physical Therapist 200 W Woodcroft Pkwy Apt 62b, Durham, NC 27713-8086 2019-06-12
1568979987 Michael Alan Schmidt Physical Therapist Dumc 3965 Duke South Clinic 1b/1c, Durham, NC 27710-0001 2018-01-08
1568428340 Spine Rehabilitation and Reeducation Center of North Physical Therapist 2309 Sparger Rd, Pob 2403, Durham, NC 27705-2227 2006-04-21
1831707066 Kyle Brendan Stapleton Physical Therapist 2301 Erwin Rd, Durham, NC 27705-4699 2020-07-14
1407334550 Trevor Lentz Physical Therapist 2400 Pratt St, Durham, NC 27705-3976 2018-07-31
1750890802 Monica Austin Physical Therapist 4709 Creekstone Dr Ste 300, Durham, NC 27703-0016 2017-09-20
1376070029 Preston Roundy Physical Therapist 40 Duke Medicine Cir, Durham, NC 27710-4000 2017-05-12
1477080190 Morven Ann Ross Malay Physical Therapist 501 Douglas St, Durham, NC 27705-3888 2017-05-11
1326474420 Activedge Fitness and Sports Performance, Inc. Physical Therapist 4221 Garrett Rd, Suite 1-2, Durham, NC 27707-3467 2013-09-20
1437399979 Insideout Body Therapies, LLC Physical Therapist 5720 Fayetteville Rd, Suite 101, Durham, NC 27713-9089 2009-02-24
Find all providers in DURHAM

Competitor

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City DURHAM
Zip Code 27705

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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