Davis-Jackson, Jami Victoria

Davis-Jackson, Jami Victoria is an individual health care provider with primary practice located at 1 Saint Anthonys Way , Alton IL 62002-4568. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Davis-Jackson, Jami Victoria can be contacted via phone (314) 317-0600.

Contact Information

Primary practice address
1 Saint Anthonys Way Alton IL 62002-4568
Phone: (314) 317-0600
Fax: (314) 317-0606
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 209-007873 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 2001031602 Missouri

Profile Details

NPI number 1629243886
LBN Legal business name Davis-Jackson, Jami Victoria
Credentials ACNP BC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2008
Last updated Apr 22nd, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1629243886 NPPES
Illinois MEDICAID 1629243886
Illinois MEDICAID 1629243886

Popular Providers