IndividualActive
Jim Davis, CAPRC, CPSP
NPI 1679361893 · Peer Specialist · Lafayette, IN
Provider details
- NPI number
- 1679361893
- Entity type
- Individual
- Primary specialty
- Peer SpecialistOther Service Providers
- Credential
- CAPRC, CPSP
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
914 South St
Lafayette, IN 47901-1416
Phone: (765) 742-1088
Approximate (ZIP-level) locationGet directions
Mailing address
531 Duroc Ct Apt a
Lafayette, IN 47909-6779
Registry dates
- Enumerated
- 2025-04-28
- Last updated
- 2025-04-28
- Certified
- 2025-04-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.