| Jared A Davis, APNP | |
|
9260 Marketplace Dr Ste 102, Miamisburg, OH 45342-4478 | |
| (888) 938-3838 | |
| (888) 919-1083 |
| Full Name | Jared A Davis |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Location | 9260 Marketplace Dr Ste 102, Miamisburg, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538874102 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | APRN.CNP.0032930 (Ohio) | Primary |
| Entity Name | Dayton Center For Neurological Disorders Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699728972 PECOS PAC ID: 4082501853 Enrollment ID: O20040304000612 |
| Entity Name | Kettering Independent Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629387865 PECOS PAC ID: 3173710936 Enrollment ID: O20101207000425 |
| Mailing Address | Practice Location Address |
|---|---|
| Jared A Davis, APNP 10001 W Innovation Dr Ste 200, Milwaukee, WI 53226-4851 Ph: (888) 938-3838 | Jared A Davis, APNP 9260 Marketplace Dr Ste 102, Miamisburg, OH 45342-4478 Ph: (888) 938-3838 |
Mallory Michelle Michna, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2960 Ferndown Dr, Miamisburg, OH 45342 Phone: 937-886-5510 Fax: 937-813-2637 | |
Heather Anne Duehren, RN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9049 Springboro Pike, Miamisburg, OH 45342 Phone: 937-759-0545 Fax: 937-759-0549 | |
Sandra L Kimball, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 415 Byers Rd, Suite 300, Miamisburg, OH 45342 Phone: 937-866-2494 Fax: 937-866-8494 | |
Mr. Seth T Kidwell, MSN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3333 W Tech Rd, Miamisburg, OH 45342 Phone: 937-641-4000 Fax: 937-641-6492 | |
Sarah E Jacobs, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9049 Springboro Pike, Miamisburg, OH 45342 Phone: 937-759-0545 Fax: 937-759-0549 | |
Ms. Javona Alexander, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2000 Waterstone Blvd Apt 205, Miamisburg, OH 45342 Phone: 937-270-3405 | |
Kristine A Scordo, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4000 Miamisburg Centerville Rd, Suite 100, Miamisburg, OH 45342 Phone: 937-643-9939 Fax: 937-643-9949 |