Annetta Delores Davis, APN,C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

26NJ00299600 Issued in NJ

Practice address

1401 Route 70 E
Suite #1
Cherry Hill, NJ 08034-2207

Phone

(856) 429-7600

Fax

(609) 429-7130

NPI assigned

Aug 12, 2010

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1281571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370476800000",
    "number": "1871808014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 JENNIFER LN",
            "city": "BURLINGTON TOWNSHIP",
            "state": "NJ",
            "postal_code": "080161145",
            "telephone_number": "609-386-1080",
            "fax_number": "609-386-1080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 ROUTE 70 E",
            "address_2": "SUITE #1",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080342207",
            "telephone_number": "856-429-7600",
            "fax_number": "609-429-7130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "ANNETTA",
        "middle_name": "DELORES",
        "name_prefix": "Mrs.",
        "credential": "APN,C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-12",
        "last_updated": "2013-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00299600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Henry Edward David, DO
• Kristen B Davidson, PT
• Brian L. Davies, OTR/L
• Davis Cosmetic Plastic Surgery
• Allison Davis
• Cynthia Davis
• Elizabeth Davis, DPT
• Frances Davis
• Heather Davis
• Jenni M. Davis, M.D.

• Adult Health Nurse Practitioner in Cherry Hill, NJ
• Providers in Cherry Hill, NJ by specialty
• Adult Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2013; 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.