Active NPI
Nancy Evelyn Davis, NP
- Adult Health Nurse Practitioner
- Greensboro, NC
National Provider Identifier
1184190621
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- TP003774C
- Practice address
- 4301 Plantation Ridge LN
Greensboro, NC 27409-9236 - Phone
- (267) 249-4349
- NPI assigned
- Oct 23, 2018
- Last updated
- Oct 23, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | TP003774C | PA | Primary |
Addresses
Primary practice location
4301 Plantation Ridge LN
Greensboro, NC 27409-9236
Mailing address
4301 Plantation Ridge LN
Greensboro, NC 27409-9236
Phone (267) 249-4349
Other names 1
- Nancy Davis Scurlock
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TP003774C | PA | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540252800000",
"number": "1184190621",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4301 PLANTATION RIDGE LN",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274099236",
"telephone_number": "267-249-4349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4301 PLANTATION RIDGE LN",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274099236",
"telephone_number": "267-249-4349"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "NANCY",
"middle_name": "EVELYN",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-23",
"last_updated": "2018-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "PA",
"license": "TP003774C",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NANCY",
"last_name": "SCURLOCK",
"middle_name": "DAVIS",
"credential": "NP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.