Sueanne M Davidson (NPI# 1508806308, PAC ID# 0244296143) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1508806308 |
| PAC ID by PECOS | 0244296143 |
| Professional Enrollment ID | I20041202000512 |
| Full Name | Sueanne M Davidson |
| Organization Legal Name | MEDSERVE, PA |
| Address |
4540 Manhattan Rd Jackson MS 39206-6022 |
| Phone Number | 6019827421 |
| Gender | F |
| Credential | NP |
| Graduation Year | 2000 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8628253978 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4540 Manhattan Rd, Jackson, MS 39206-6022 | 6019827421 | MEDSERVE, PA |
| Organization Legal Name | MEDSERVE, PA |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jordan Larue Fulcher | Nurse Practitioner | Medserve, Pa | 5420 Hwy 80 E, Pearl, MS 39208-8924 |
| Daphenia Knight-starling | Nurse Practitioner | Medserve, Pa | 2300 Seven Springs Rd, Raymond, MS 39154-7628 |
| Lara J Teal Clement | Family Medicine | Medserve, Pa | 1308 Hwy 51, Madison, MS 39110-7205 |
| Tabitha L Wells | Nurse Practitioner | Medserve, Pa | 2300 Seven Springs Rd, Raymond, MS 39154-7628 |
| Street Address |
4540 MANHATTAN RD |
| City | JACKSON |
| State | MS |
| Zip | 39206-6022 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sheryll Angela Vincent | Pediatric Medicine | 5440 Watkins Dr, Jackson, MS 39206-2034 | |
| Jacinta Tokeya Stegall | Nurse Practitioner | Tridentusa Mobile Clinical Services LLC | 405 Briarwood Dr, 103g, Jackson, MS 39206-3029 |
| David N Duddleston | Internal Medicine | 1116 Forest Ave, Jackson, MS 39206-3216 | |
| Lakeisha Crye Green | Nurse Practitioner | 5411 I 55, Jackson, MS 39206-3616 | |
| Ashley Lynne Bullock | Occupational Therapy | Inmotion Rehab, LLC | 5411 I 55, Jackson, MS 39206-3616 |
| Tammy English | Physical Therapy | Inmotion Rehab, LLC | 5411 I 55, Jackson, MS 39206-3616 |
| Brynn Corbello | Occupational Therapy | Inmotion Rehab, LLC | 5411 I 55, Jackson, MS 39206-3616 |
| Margaret Elizabeth Shrader | Physical Therapy | Inmotion Rehab, LLC | 5411 I 55, Jackson, MS 39206-3616 |
| Mikki Leigh Daniel | Physical Therapy | Inmotion Rehab, LLC | 5411 I 55, Jackson, MS 39206-3616 |
| Annyce Campbell | Family Medicine | 4510 Hanging Moss Rd, Jackson, MS 39206-3962 | |
| Find all physicians in zip 39206 | |||
| City | JACKSON |
| Zip Code | 39206 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | JACKSON + NURSE PRACTITIONER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.