Individual provider Active NPI

Priscilla Yapibe Davis, APRN

  • Family Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1215644513
Registry record updated Apr 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11022784 Issued in FL
Practice address
101 Century 21 Dr FL 32216
Jacksonville, FL 32216-8115
Phone
(904) 374-0594
NPI assigned
Nov 4, 2022
Last updated
Apr 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11022784 FL Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11022784 FL

Addresses

Primary practice location

101 Century 21 Dr FL 32216
Jacksonville, FL 32216-8115

Mailing address

11111 San Jose Blvd Ste 56
Jacksonville, FL 32223-7274
Phone (815) 541-5045

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240305001300 FL Practitioner - Nurse Practitioner 6709221328 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11022784FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Haven Medical Group, LLC CurrentSince Nov 12, 2024 Accepting new patients
Arc Professional Services LLC Psychiatric/Mental Health Current Accepting new patients
Patient Focus Physicians Associates Inc CurrentSince Nov 6, 2022 Accepting new patients
Abode Hospice of Florida, LLC Past Accepting new patients
North Central Florida Hospice, Inc. Past Accepting new patients

Locations

4200 NW 90th Blvd
Gainesville, FL 32606
Phone (352) 378-2121

101 Century 21 Dr
Jacksonville, FL 32216
Phone (904) 374-0594

11111 San Jose Blvd
Ste 56
Jacksonville, FL 32223
Phone (815) 541-5045

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1667520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775174400000",
    "number": "1215644513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11111 SAN JOSE BLVD STE 56",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322237274",
            "telephone_number": "815-541-5045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CENTURY 21 DR FL 32216",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322168115",
            "telephone_number": "904-374-0594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "PRISCILLA",
        "middle_name": "YAPIBE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-04",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11022784",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11022784",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.