NPI 1053807420 · live from the CMS NPI Registry
Janett Davis, FNP
Nurse Practitioner, Family in Moultrie, GA. National Provider Identifier 1053807420, active.
NPI record
| NPI | 1053807420 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 3015 Veterans Pkwy S, Moultrie, GA 31788 |
| Practice phone | 229-985-4815 |
| Mailing address | 31 W Carrie Ct, Blakely, GA 39823 |
| Enumerated | July 9, 2018 |
| Last updated | September 29, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, General Practice | 163WG0000X | RN195675 (GA) |
| Nurse Practitioner, Family primary | 363LF0000X | 195675 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.