Jill Renee Davis, APRN

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

A005796 Issued in AR

Practice address

800 S Church St Ste 400
Jonesboro, AR 72401-4112

Phone

(870) 935-6012

Fax

(870) 934-3156

NPI assigned

Jul 26, 2018

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 AR

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: jdavis501322@direct.bmhcc.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Harmony Health Clinic Wynne, PLLC

  • Family Medicine Physician
  • Wynne, AR
  • NPI 1558085175

  AR

  Medicare reassignment NPD
• Mitchell Family Medicine, LLC

  • Family Medicine Physician
  • Marion, AR
  • NPI 1528537461

  AR

  Medicare reassignment NPD
• Renew Mental Health and Wellness LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Jonesboro, AR
  • NPI 1447817572

  AR

  Medicare reassignment NPD
• Harmony Health Clinic Wynne, PLLC

  • Rural Health Clinic/Center
  • Wynne, AR
  • NPI 1588314157
  NPD
• Renew Mental Health and Wellness, LLC

  • Specialist
  • Jonesboro, AR
  • NPI 1467134007
  NPD

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

{
    "created_epoch": "1532563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532563200000",
    "number": "1740767375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 S CHURCH ST STE 400",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724014112",
            "telephone_number": "870-935-6012",
            "fax_number": "870-934-3156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S CHURCH ST STE 400",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724014112",
            "telephone_number": "870-935-6012",
            "fax_number": "870-934-3156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JILL",
        "middle_name": "RENEE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-26",
        "last_updated": "2018-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "AR",
            "license": "A005796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hillary Davis, APRN-BC
• Howell Davis
• Jada Davis
• Janet Davis
• Jessica Ann Davis, MHPP
• Jonathon Davis
• Jordan Mallory Davis, RN
• Kara Davis
• Kimberly Davis
• Kimberly J Davis, RN

• All providers in Jonesboro, AR
• Pediatric Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2018; 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.