NPI 1740767375 · live from the CMS NPI Registry
Jill Renee Davis, APRN
Nurse Practitioner, Pediatrics in Jonesboro, AR. National Provider Identifier 1740767375, active.
NPI record
| NPI | 1740767375 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 800 S Church St Ste 400, Jonesboro, AR 72401 |
| Practice phone | 870-935-6012 |
| Enumerated | July 26, 2018 |
| Last updated | July 26, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | A005796 (AR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.