Individual provider Active NPI

Jennifer Sue Davis, MSN, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Panama City, FL
National Provider Identifier
1801440763
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11004531 Issued in FL
Practice address
700 W 23Rd St Ste F
Panama City, FL 32405-3936
Phone
(448) 217-4613
Fax
(850) 299-0770
NPI assigned
Jul 30, 2019
Last updated
Aug 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11004531 FL Primary
Psychiatric/Mental Health Registered Nurse 163WP0808X RN9510809 FL

Addresses

Primary practice location

700 W 23Rd St Ste F
Panama City, FL 32405-3936

Mailing address

700 W 23Rd St Ste F
Panama City, FL 32405-3936
Phone (850) 203-0139

Other practice location 1

1706 S Jefferson St
Perry, FL 32348-5611
Phone (850) 329-5775

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20191118001126 FL Practitioner - Nurse Practitioner 3173955903 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
A New Dawn, a New Beginning, IncGroup PAC ID 7618380601, 5 clinicians

Practice addresses (Care Compare)

1706 S Jefferson St
Perry, FL 32348-5611
Phone (850) 329-5776

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN9510809FLMDPsychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Life Management Center of NW FL, Inc. Current Accepting new patients
Life Management Center of Northwest Florida Inc CurrentSince Oct 13, 2019 Accepting new patients
Life Management Center of Northwest Florida Inc CurrentSince Oct 13, 2019 Accepting new patients
A New Dawn, a New Beginning, Inc CurrentSince Jul 8, 2025 Accepting new patients
Life Management of NW FL, Inc. Past Accepting new patients
Life Management of NW FL, Inc. Past Accepting new patients

Locations

16869 NE Pear St
Blountstown, FL 32424
Phone (850) 522-4485

310 E Byrd Ave
Bonifay, FL 32425
Phone (850) 522-4485

4094 Lafayette St
Marianna, FL 32446
Phone (850) 482-7441

525 E 15th St
Panama City, FL 32405
Phone (850) 522-4485

1706 S Jefferson St
Perry, FL 32348
Phone (850) 329-5776

311 Williams Ave
Port St Joe, FL 32456
Phone (850) 522-4485

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1564444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1801440763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 W 23RD ST STE F",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324053936",
            "telephone_number": "850-203-0139",
            "fax_number": "850-299-0770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W 23RD ST STE F",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324053936",
            "telephone_number": "448-217-4613",
            "fax_number": "850-299-0770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1706 S Jefferson St",
            "address_purpose": "LOCATION",
            "city": "Perry",
            "state": "FL",
            "postal_code": "323485611",
            "country_code": "US",
            "telephone_number": "850-329-5775",
            "fax_number": "850-299-0770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JENNIFER",
        "middle_name": "SUE",
        "credential": "MSN, APRN, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-30",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11004531",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "FL",
            "license": "RN9510809",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

Verify at the official NPI Registry.