Jourva Davis
Individual provider Active NPI Case Manager/Care Coordinator · Covington, TN
NPI 1922491265 · NPPES record last updated Mar 11, 2015
Key facts
- NPI
- 1922491265
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- License
- 095438652 (TN)
- Practice address
- 1997 Highway 51 S
Covington, TN 38019-3630 - Phone
- (901) 476-8967
- Fax
- (901) 476-2498
- NPI assigned
- Mar 11, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 095438652 | TN | MD | Case Manager/Care Coordinator |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | 095438652 | TN | Yes |
Addresses
Primary practice location
1997 Highway 51 S
Covington, TN 38019-3630
Mailing address
1997 Highway 51 S
Covington, TN 38019-3630
Phone (901) 476-8967
Other providers in Covington, TN
- Heather M Damons
- David N Park
- Mary Lon David
- Janice L Davidson
- Alyssa Marie Davis
- Nadine Moye Davis
- Elizabeth J Dawson
- Laura Newman Dawson
- Kali Decker
- Lidia Teshome Degefa
All providers in Covington, TN · Case Manager/Care Coordinator in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 11, 2015. 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.