- Practice location
- 12 Prospect Ave, Randolph, VT 05060-1359
- Phone
- 802-728-4105
- Fax
- —
- Last updated
- April 28, 2014
Jennifer Davis is a Registered Nurse, Lactation Consultant based in Randolph, VT. Jennifer Davis practices in Randolph, VT and has the professional credentials of RN, IBCLC. The NPI Number for Jennifer Davis is 1164842399 and holds a License No. 026.0025071 (VT). The current practice location address for Jennifer Davis is 12 Prospect Ave, Randolph, VT 05060-1359 and can be reached out via phone at 802-728-4105.
Provider Profile Details
- NPI Number
- 1164842399
- Provider Name
- Jennifer Davis
- Credential
- RN, IBCLC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 12 Prospect Ave, Randolph, VT 05060-1359
- Phone Number
- 802-728-4105
- Primary Taxonomy
- Registered Nurse, Lactation Consultant · 163WL0100X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- April 28, 2014
- Last Update Date
- April 28, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 12 Prospect Ave
Randolph, VT 05060-1359 - City
- Randolph
- State
- Vermont
- Zip
- 05060-1359
- Phone Number
- 802-728-4105
Provider Business Mailing Address Details
- Address
- 12 Prospect Ave
Randolph, VT 05060-1359 - City
- Randolph
- State
- VT
- Zip
- 05060-1359
- Phone Number
- 802-728-4105
License Information
- License Number (1)
- 026.0025071
- License State (1)
- VT
- Taxonomy (1)
- Registered Nurse, Lactation Consultant · 163WL0100X · Primary
- License Number (2)
- 069122-21
- License State (2)
- NH
- Taxonomy (2)
- Registered Nurse, Lactation Consultant · 163WL0100X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Jennifer Davis, RN, IBCLC?
The NPI number of Jennifer Davis, RN, IBCLC is 1164842399. It was assigned on April 28, 2014 and is currently active in the NPPES registry.
What is the specialty of Jennifer Davis, RN, IBCLC?
Jennifer Davis, RN, IBCLC is registered under the primary taxonomy Registered Nurse, Lactation Consultant (code 163WL0100X), licensed in VT under license number 026.0025071.
Where does Jennifer Davis, RN, IBCLC practice?
The practice location is 12 Prospect Ave, Randolph, VT 05060-1359. The office can be reached at 802-728-4105 (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 1164842399 directly on the NPPES registry website.