Healthcare Provider Details

I. General information

NPI: 1649257924
Provider Name (Legal Business Name): JANET KAY DAVIS APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JANET KAY PRESLEY APRN

II. Dates (important events)

Enumeration Date: 12/28/2005
Last Update Date: 02/08/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5151 N. 9TH AVENUE, 1ST FLOOR
PENSACOLA FL
32504
US

IV. Provider business mailing address

5041 N. 12TH AVE
PENSACOLA FL
32504
US

V. Phone/Fax

Practice location:
  • Phone: 850-262-7830
  • Fax: 850-449-6858
Mailing address:
  • Phone: 850-433-2155
  • Fax: 850-202-0600

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberARNP1276572
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: