Jennifer Davis, CPNP-PC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

RN245655 Issued in GA

Practice address

3815 Harrison Rd
Loganville, GA 30052-2462

Phone

(770) 466-6112

NPI assigned

Feb 7, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JIJDDD/Endpoint/JIJDDD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1644192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644192000000",
    "number": "1003560251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 RODEO CT SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303164917",
            "telephone_number": "276-492-6373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3815 HARRISON RD",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300522462",
            "telephone_number": "770-466-6112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JENNIFER",
        "credential": "CPNP-PC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-07",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "GA",
            "license": "RN245655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johanne Dastine-Coriolan, NP
• Kyleigh Grace Daugherty, M. ED. CCC-SLP
• David a Fields MD Family Care PC
• Celeste Davis, CPNP
• Gladys Kyrima Davis
• Latoya Denise Davis, LCSW
• Tolulola Dawodu
• Abbie Faith Debner
• Deeply Rooted Therapy LLC
• Jannifer Degree, PHLEBOTOMIST

• Pediatric Nurse Practitioner in Loganville, GA
• Providers in Loganville, GA by specialty
• Pediatric Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.