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

Elizabeth Jade Davis

Individual provider Family Nurse Practitioner · NPI 1356169205

Elizabeth Jade Davis is a Nurse Practitioner in Winchester, Indiana. Qualified in 2024, 2 years ago. Practices with St Vincent Medical Group Inc, a 727-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
2
Licensed in
IN
In the registry since
2024
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Practice location Address checks out

409 SE Greenville Ave
Winchester, IN 47394-9464
Phone: (765) 584-0480
Fax: (765) 584-0470
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 409 Se Greenville Ave Ste 300, Winchester, IN 47394-9465 — (765) 546-8537

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 71016224A (IN)

Record details

NPI number1356169205
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 30, 2024
Last updated in NPPESMarch 25, 2025
Certification dateMarch 25, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice St Vincent Medical Group Inc — 727 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Winchester