IndividualActive
Jacorey Davis
NPI 1346991767 · Critical Care Medicine Nurse Practitioner · Atlanta, GA
Provider details
- NPI number
- 1346991767
- Entity type
- Individual
- Primary specialty
- Critical Care Medicine Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
- License
- RN279827 (GA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1364 Clifton Rd Ne # R
Atlanta, GA 30322-5145
Phone: (404) 712-2000
Approximate (ZIP-level) locationGet directions
Mailing address
100 University Pkwy
Macon, GA 31206-5145
Registry dates
- Enumerated
- 2022-01-17
- Last updated
- 2024-05-20
- Certified
- 2024-05-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.