Jessica Dwanna Davis, DNP, MBA, MSN, APRN,

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APRN11035091 Issued in FL

Practice address

31308 Amberview BND
Wesley Chapel, FL 33545-4516

Phone

(318) 562-8066

NPI assigned

Aug 27, 2024

Last updated

Sep 4, 2024By 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 1

Addresses

Other names 1

• Jessiac D. Davis Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Business Administration, Master of Science - Nursing

State licenses

Practice roles

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.

• Legendary Minds LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Wesley Chapel, FL
  • NPI 1720907926
  NPD Authorized official

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

{
    "created_epoch": "1724716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1629802368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5111 PALMER RANCH PKWY",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342384477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31308 AMBERVIEW BND",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335454516",
            "telephone_number": "318-562-8066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JESSICA",
        "middle_name": "DWANNA",
        "name_prefix": "Ms.",
        "credential": "DNP, MBA, MSN, APRN,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-27",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11035091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSIAC",
            "last_name": "DAVIS",
            "middle_name": "D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Davis Spine and Orthopaedics LLC
• Kristen Davis-John, PH.D.
• Aimee Ann Davis, APRN
• Alexandria Davis
• Charles William Davis II, M.D.
• Kayla Davis
• Nancy Jean Davis, BCBA
• Pauline T Davis
• Sarah Davis
• Sarah Davis, PA-C

• Psychiatric/Mental Health Nurse Practitioner in Wesley Chapel, FL
• Providers in Wesley Chapel, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.