Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jacqueline Violet Davis

Individual provider Gerontology Nurse Practitioner · NPI 1710687678

Dr. Jacqueline Violet Davis is a Gerontology Nurse Practitioner in Freeport, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2023

Practice location Address checks out

642 Miller Ave
Freeport, NY 11520-6313
Phone: (347) 610-6206
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 582057-1 (NY)

Record details

NPI number1710687678
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 8, 2023
Last updated in NPPESMarch 8, 2023
Certification dateMarch 8, 2023

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