National Provider Identifier Database

JACQUELYN HALL DAVIS, MD – NPI #1619042124
Child & Adolescent Psychiatry

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.


Contact Information

JACQUELYN HALL DAVIS, MD
1669 WINDHAM WAY SUITE B
O'FALLON, IL62269-3072
Phone: 618-622-9240
Fax: 618-622-9241
Website:
Specialty Taxonomy Code
* Child & Adolescent Psychiatry 2084P0804X

* Indicates primary specialty

NPI Profile & details for JACQUELYN HALL DAVIS

NPI Number 1619042124
Credentials MD
Entity Individual
Enumeration date 11/21/2006
Last updated 02/12/2025 - More than a year ago
Sole proprietor1 No
Identifiers
  • IL License #: 036080270
  • IL Medicaid: 036080270
  • MO Other: 3649 BCBS MO
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for JACQUELYN HALL DAVIS, MD

There are currently no reviews for JACQUELYN HALL DAVIS, MD


NPIdb - Home
v2.201