Jada Davis
Individual provider Active NPI Homemaker · Detroit, MI
NPI 1649809013 · NPPES record last updated Apr 7, 2020
Key facts
- NPI
- 1649809013
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Homemaker 376J00000X
- Practice address
- 14845 Muirland St
Detroit, MI 48238-2150 - Phone
- (313) 469-4317
- NPI assigned
- Apr 7, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Homemaker | 376J00000X | Yes |
Addresses
Primary practice location
14845 Muirland St
Detroit, MI 48238-2150
Mailing address
14845 Muirland St
Detroit, MI 48238-2150
Phone (313) 469-4317
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 7, 2020. 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.