Active NPI
Jacqueline Davis, RN
- Registered Nurse
- Millsboro, DE
National Provider Identifier
1295614865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- L1-0075604
- Practice address
- 28538 Dupont Blvd
Millsboro, DE 19966-4791 - Phone
- (302) 934-5052
- NPI assigned
- Aug 28, 2025
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | L1-0075604 | DE | Primary |
Addresses
Primary practice location
28538 Dupont Blvd
Millsboro, DE 19966-4791
Mailing address
31339 Christ Church Rd
Laurel, DE 19956-3482
Phone (302) 604-8767
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L1-0075604 | DE | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756339200000",
"number": "1295614865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31339 CHRIST CHURCH RD",
"city": "LAUREL",
"state": "DE",
"postal_code": "199563482",
"telephone_number": "302-604-8767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28538 DUPONT BLVD",
"city": "MILLSBORO",
"state": "DE",
"postal_code": "199664791",
"telephone_number": "302-934-5052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "JACQUELINE",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-08-28",
"last_updated": "2025-08-28",
"certification_date": "2025-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "DE",
"license": "L1-0075604",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Millsboro, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.