Jennifer Lynn Davis, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

208463 Issued in NC

Practice address

55 Buckeye Cove Rd
Canton, NC 28716-4511

Phone

(828) 648-0282

NPI assigned

Jun 24, 2019

Last updated

Mar 15, 2022By 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

Medicare fee-for-service enrollment

Enrolled in NC

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jennifer.davis.1@9865.direct.athenahealth.com

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.

• DLP Haywood Regional Medical Center LLC

  • Emergency Medicine Physician
  • Clyde, NC
  • NPI 1336542067
  Medicare reassignment NPD
• DLP Western Carolina Physician Practices LLC

  • Internal Medicine Physician
  • Sylva, NC
  • NPI 1609281641

  Nurse Practitioner

  Medicare reassignment NPD
• DLP Haywood Regional Medical Center LLC

  dba Haywood Regional Medical Center Behavioral Health Unit

  • Psychiatric Hospital Unit
  • Clyde, NC
  • NPI 1568618379
  NPD
• DLP Western Carolina Physician Practices LLC

  • Diagnostic Radiology Physician
  • Clyde, NC
  • NPI 1932925062
  NPD

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

{
    "created_epoch": "1561334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647302400000",
    "number": "1730740531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 AURORA DR",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288051703",
            "telephone_number": "828-206-1505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 BUCKEYE COVE RD",
            "city": "CANTON",
            "state": "NC",
            "postal_code": "287164511",
            "telephone_number": "828-648-0282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-24",
        "last_updated": "2022-03-15",
        "certification_date": "2020-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "208463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Chamberlain, FNP-C
• Chappell Valley Cottage
• W Raymond Chavez, DC
• Natosha E Cook, COTA/L
• Eddie Ray Davenport III, LCSW
• Ariana Debussey, PHARMD
• Gretchen Merritt Denton, CCC-SLP
• William Courtenay Dinwiddie Jr., M.D.
• Barbara T Dubiel, M.D.
• Eckerd Corporation (Rite Aid Pharmacy 11557)

• Nurse Practitioner in Canton, NC
• Providers in Canton, NC by specialty
• Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2022; 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.