Jane Ann Williamson-Davenport, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP3125 Issued in AZ

Practice address

1100 F Ave
Douglas, AZ 85607-1919

Phone

(520) 364-3285

Fax

(520) 364-4261

NPI assigned

Sep 12, 2008

Last updated

Mar 18, 2015By 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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1221177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426636800000",
    "number": "1689823874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 F AVE",
            "city": "DOUGLAS",
            "state": "AZ",
            "postal_code": "856071920",
            "telephone_number": "520-364-1429",
            "fax_number": "520-364-4261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 F AVE",
            "city": "DOUGLAS",
            "state": "AZ",
            "postal_code": "856071919",
            "telephone_number": "520-364-3285",
            "fax_number": "520-364-4261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMSON-DAVENPORT",
        "first_name": "JANE",
        "middle_name": "ANN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-12",
        "last_updated": "2015-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP3125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "372620",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cheryl Vazquez
• Wal-Mart Stores, Inc. (Vision Center 30-1846)
• Walmart Inc. (Walmart Pharmacy 10-1846)
• Tara Weber
• Sierra Lynn Williams, EDS, ATC/L
• Pearlie Wilson-Natal, FNP
• Alfred P Wu, MD
• Jamie Ann Wu, DNP, FNP-C
• Patricia Ioanna Wu, MD
• Jay Daniel Zamora, D.C., L.AC.

• Family Nurse Practitioner in Douglas, AZ
• Providers in Douglas, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.