Mercy Davis
Individual provider Active NPI Nurse's Aide · Wildwood, NJ
NPI 1821323601 · NPPES record last updated Oct 12, 2009
Key facts
- NPI
- 1821323601
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse's Aide 376K00000X
- License
- NA08312582 (NJ)
- Practice address
- 4014 Arctic Ave
Wildwood, NJ 08260-1925 - Phone
- (800) 950-6066
- NPI assigned
- Oct 12, 2009
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NA08312582 | NJ | MD | Nurse's Aide |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | NA08312582 | NJ | Yes |
Addresses
Primary practice location
4014 Arctic Ave
Wildwood, NJ 08260-1925
Mailing address
4014 Arctic Ave
Wildwood, NJ 08260-1925
Phone (800) 950-6066
Other providers in Wildwood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 12, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.