Joan M Davis
Individual provider Active NPI Driver · Halifax, VA
NPI 1376028266 · NPPES record last updated Sep 26, 2018
Key facts
- NPI
- 1376028266
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Driver 172A00000X
- Practice address
- 1021 Pine TRL
Halifax, VA 24558-2241 - Phone
- (434) 770-0340
- NPI assigned
- Sep 26, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | VA | Yes |
Addresses
Primary practice location
1021 Pine TRL
Halifax, VA 24558-2241
Mailing address
1021 Pine TRL
Halifax, VA 24558-2241
Phone (434) 770-0340
Other providers in Halifax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 26, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.