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NPI 1013802412

NPI 1013802412 : JORIAN D DAVIS : DALLAS, TX

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General NPI Number Information
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    NPI Number           |    1013802412
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    Entity Type          |    Individual 
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    Provider Name        |    JORIAN D DAVIS
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/09/2025
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    Last Update Date     |    03/18/2026
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Provider Practice Location Address
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    Address Line         |    3839 BRIARGROVE LN APT 8216 
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    City                 |    DALLAS
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    State                |    TX
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    Zip                  |    75287-6382
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    Country              |    US
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    Telephone            |    313-826-4324
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3839 BRIARGROVE LN APT 8216 
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    City                 |    DALLAS
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    State                |    TX
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    Zip                  |    75287-6382
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    Country              |    US
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    Telephone            |    313-826-4324
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363LP0808X
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    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
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    License Number       |    95038650
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    License Number State |    CA
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Taxonomy #2
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    Taxonomy Code        |    163W00000X
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    Taxonomy Name        |    Registered Nurse
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    License Number       |    95303179
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    License Number State |    CA
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Taxonomy #3
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    Taxonomy Code        |    363LP0808X
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    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
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    License Number       |    1213944
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    License Number State |    TX
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Taxonomy #4
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    Taxonomy Code        |    163WG0000X
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    Taxonomy Name        |    General Practice Registered Nurse
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    License Number       |    954568
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    License Number State |    TX
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