Jennifer L Davis MD PLLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

J4070 Issued in TX

Legal business name

JENNIFER L DAVIS MD PLLC

Practice address

3130 S Alameda St
Corpus Christi, TX 78404-2523

Phone

(361) 883-9999

Fax

(361) 883-9909

NPI assigned

Nov 1, 2012

Organization subpart

No

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

Authorized official

Name

Jennifer L Davis, MD

Title

Owner

Phone

(361) 883-9999

Specialties & licenses 1

Addresses

Other names 1

• BLUE SKY PEDIATRICS Doing business as

Locations

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

{
    "created_epoch": "1351728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424390400000",
    "number": "1881948586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60457",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784660457",
            "telephone_number": "361-883-9999",
            "fax_number": "361-883-9909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 S ALAMEDA ST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784042523",
            "telephone_number": "361-883-9999",
            "fax_number": "361-883-9909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER L DAVIS MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-01",
        "last_updated": "2015-02-20",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "361-883-9999",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "J4070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BLUE SKY PEDIATRICS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Lauren Brooke Jensen, OD
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• Pediatrics Physician in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2015; 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.