| Mrs Jessica Diane Davis, NNP-BC | |
|
4301 Greathouse Springs Road, Johnson, AR 72741 | |
| (479) 684-3102 | |
| Not Available |
| Full Name | Mrs Jessica Diane Davis |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Neonatal |
| Location | 4301 Greathouse Springs Road, Johnson, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184346322 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WN0002X | Registered Nurse - Neonatal Intensive Care | 2021005171 (Missouri) | Secondary |
| 363LN0000X | Nurse Practitioner - Neonatal | 230625 (Arkansas) | Primary |
| Entity Name | Springdale Bentonville Hbp Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811762701 PECOS PAC ID: 1052759263 Enrollment ID: O20240408001674 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Jessica Diane Davis, NNP-BC Po Box 544, Johnson, AR 72741-0544 Ph: (479) 684-3102 | Mrs Jessica Diane Davis, NNP-BC 4301 Greathouse Springs Road, Johnson, AR 72741 Ph: (479) 684-3102 |
Gina M Webb, APRN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4301 Greathouse Springs Rd, Johnson, AR 72741 Phone: 574-274-2322 | |
Bridget Mary Mcclelland, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4301 Greathouse Springs Road, Johnson, AR 72741 Phone: 901-270-9504 | |
Mrs. Brandi Alexander, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4301 Greathouse Springs Road, Johnson, AR 72741 Phone: 479-684-3260 | |
Jessica Jean Newcomb, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4301 Greathouse Springs Road, Johnson, AR 72741 Phone: 479-684-3000 | |
Marcie E Schock, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4301 Greathouse Springs Rd, Johnson, AR 72741 Phone: 479-674-3000 |