Active NPI
Yolanda Louise Davis, NP-C
- Family Nurse Practitioner
- Jonesboro, AR
National Provider Identifier
1366927956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- A005917
- Practice address
- 1706 Heather Ridge Dr
Jonesboro, AR 72401-3748 - Phone
- (870) 316-6797
- NPI assigned
- Sep 28, 2018
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | A005917 | AR | Primary |
Addresses
Primary practice location
1706 Heather Ridge Dr
Jonesboro, AR 72401-3748
Mailing address
1706 Heather Ridge Dr
Jonesboro, AR 72401-3748
Phone (870) 316-6797
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A005917 | AR | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538092800000",
"number": "1366927956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1706 HEATHER RIDGE DR",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724013748",
"telephone_number": "870-316-6797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1706 HEATHER RIDGE DR",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724013748",
"telephone_number": "870-316-6797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "YOLANDA",
"middle_name": "LOUISE",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-28",
"last_updated": "2018-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AR",
"license": "A005917",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jonesboro, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.