Healthcare Provider Details

I. General information

NPI: 1043141302
Provider Name (Legal Business Name): MEIKAI MAPP-DAVIS CMA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MAGGIE MOORE DIXON DRUG SCREENER

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4780 I 55 N STE 100
JACKSON MS
39211-5583
US

IV. Provider business mailing address

4780 I 55 N STE 100
JACKSON MS
39211-5583
US

V. Phone/Fax

Practice location:
  • Phone: 769-274-8083
  • Fax: 601-709-4611
Mailing address:
  • Phone: 769-274-8083
  • Fax: 601-709-4611

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code247200000X
TaxonomyOther Technician
License Number
License Number StateMS
# 2
Primary TaxonomyY
Taxonomy Code247200000X
TaxonomyOther Technician
License Number
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: