JACK M DAVIS, FNP, Family APO, AP

Contact Information

JACK M DAVIS, FNP

18TH MEDCOM
ATTN: DCCS-QM (CREDENTIALS)
APO, AP 96205-0054

Phone: 01182279166027
Fax: 01182279178110
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Family	363LF0000X	50	Nurse Practitioner

Indicates primary specialty

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NPI Profile & details for JACK M DAVIS · (Male)

NPI #	`1063529162`
Status	Active
Credentials	FNP (Family Nurse Practitioner)
Entity	Individual
Enumeration date	08/24/2006
Last updated	07/21/2022 - About 4 years ago
Sole proprietor ¹	No
Identifiers	AZ License # RN073330
Hospital affiliation(s)	Not Available

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.

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JACK M DAVIS, FNP – NPI #1063529162Family

Contact Information

Specialty

Family

NPI Profile & details for JACK M DAVIS · (Male)

Reviews for JACK M DAVIS

JACK M DAVIS, FNP – NPI #1063529162
Family