Janis Marie Davidson, PHD, CFNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

26NJ00023000 Issued in NJ

Practice address

5438 8TH Street
Fort Dix, NJ 08640

Phone

(609) 562-2999

Fax

(609) 562-5426

NPI assigned

Aug 19, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215041785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1586 WILLOW POND DR",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "190675796",
            "telephone_number": "215-493-5334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5438 8TH STREET",
            "city": "FORT DIX",
            "state": "NJ",
            "postal_code": "08640",
            "telephone_number": "609-562-2999",
            "fax_number": "609-562-5426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "JANIS",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PHD, CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00023000",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "VP001591B",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Antonio Cabanas, DMD
• Thelma Campbell, NURSE
• Anthony Louis Capone, MSW
• Janet M Conway, O.D.
• Joseph Nunzio Coyle
• Dentrust Dental, P.a. (Docs Dental Joint Base McGuire Dix Lakehurst)
• Victor M Figueroa, IDMT
• Erwin Hillard Goldrich, DMD
• Lucy Gorelli, M.D.
• Jamie Greenspan, MSW, LCSW, LCADC

• Adult Health Nurse Practitioner in Fort Dix, NJ
• Providers in Fort Dix, NJ by specialty
• Adult Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.