Annetta Delores Davis, APN,C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

26NJ00299600 Issued in NJ

Practice address

695 Cross St Ste 185
Lakewood, NJ 08701-4619

Phone

(856) 443-2546

Fax

(848) 456-5634

NPI assigned

Aug 12, 2010

Last updated

Oct 26, 2026By 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

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": "1792972800000",
    "number": "1871808014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "695 CROSS ST STE 185",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087014619",
            "telephone_number": "856-443-2546",
            "fax_number": "848-456-5634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "695 CROSS ST STE 185",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087014619",
            "telephone_number": "856-443-2546",
            "fax_number": "848-456-5634"
        }
    ],
    "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": "2026-10-26",
        "certification_date": "2026-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00299600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Daum, SLP
• Frieda Davatgar
• David S Mitchell DO PA
• Esther Davidowitz, BCBA
• Deborah Davidson
• Bernadette Davis
• Chanan Davis, LMFT
• Ettel Davis
• DBT Lifeskills, LLC
• Esther De Freudiger, PHARMD

• Adult Health Nurse Practitioner in Lakewood, NJ
• Providers in Lakewood, 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 Oct 26, 2026; 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.