Active NPIIndividual provider

Jacquelyn Davis

Dietitian, Registered in Bridgeport, Connecticut

NPI Number1023669439
Practice location
267 Grant St, Bridgeport, CT 06610-2805
Fax
—
Last updated
September 29, 2025

Jacquelyn Davis is a Dietitian, Registered based in Bridgeport, CT. Jacquelyn Davis practices in Bridgeport, CT. The NPI Number for Jacquelyn Davis is 1023669439 and holds a License No. 1723 (CT). The current practice location address for Jacquelyn Davis is 267 Grant St, Bridgeport, CT 06610-2805 and can be reached out via phone at 203-384-4553.

Provider Profile Details

NPI Number
1023669439
Provider Name
Jacquelyn Davis
Provider Entity Type
Individual
Gender
Female
Address
267 Grant St, Bridgeport, CT 06610-2805
Phone Number
203-384-4553
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
No
Other Names
Jacquelyn Bucci (Former Name)
Provider Enumeration Date
September 26, 2019
Last Update Date
September 29, 2025
Certification Date
September 29, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
267 Grant St
Bridgeport, CT 06610-2805
Zip
06610-2805
Phone Number
203-384-4553
Bridgeport, CT 06610Get directions →

Provider Business Mailing Address Details

Address
267 Grant St
Bridgeport, CT 06610-2805
City
Bridgeport
State
CT
Zip
06610-2805

License Information

License Number
1723
License State
CT
Taxonomy
Dietitian, Registered · 133V00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jacquelyn Davis?

The NPI number of Jacquelyn Davis is 1023669439. It was assigned on September 26, 2019 and is currently active in the NPPES registry.

What is the specialty of Jacquelyn Davis?

Jacquelyn Davis is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in CT under license number 1723.

Where does Jacquelyn Davis practice?

The practice location is 267 Grant St, Bridgeport, CT 06610-2805. The office can be reached at 203-384-4553 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1023669439 directly on the NPPES registry website.

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