Active NPI
Cherie Jeanine Davis-Jackson, R.N. MSN FNP
- Family Nurse Practitioner
- Sacramento, CA
National Provider Identifier
1659444594
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 252206
- Practice address
- 7001-A East Parkway
Public HLTH Services-Admin. Ste. # 500
Sacramento, CA 95823-2034 - Phone
- (916) 875-5701
- Fax
- (916) 875-6366
- NPI assigned
- Nov 16, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | 252206 | CA | Primary |
Addresses
Primary practice location
7001-A East Parkway
Public HLTH Services-Admin. Ste. # 500
Sacramento, CA 95823-2034
Mailing address
14745 Guadalupe Dr
Rancho Murieta, CA 95683-9438
Phone (916) 354-0743
Other names 1
- Mrs. Cherie Jeanine Davis
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 |
|---|---|---|---|
| 252206 | CA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1659444594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14745 GUADALUPE DR",
"city": "RANCHO MURIETA",
"state": "CA",
"postal_code": "956839438",
"telephone_number": "916-354-0743",
"fax_number": "916-354-1732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7001-A EAST PARKWAY",
"address_2": "PUBLIC HLTH SERVICES-ADMIN. STE. # 500",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958232034",
"telephone_number": "916-875-5701",
"fax_number": "916-875-6366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS-JACKSON",
"first_name": "CHERIE",
"middle_name": "JEANINE",
"name_prefix": "Mrs.",
"credential": "R.N. MSN FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "252206",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHERIE",
"last_name": "DAVIS",
"middle_name": "JEANINE",
"prefix": "MRS.",
"credential": "R.N. MSN FNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.