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NPI Code Detail

MEDICARE: JOANNE P DAVIS PHDC, CNM

MEDICARE: JOANNE P DAVIS PHDC, CNM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WM0102XMaternal Newborn Registered NurseRN131789OH
2163WM0102XMaternal Newborn Registered NurseNM3524OH
3163WW0101XAmbulatory Women's Health Care Registered NurseRN131789OH
4163WW0101XAmbulatory Women's Health Care Registered NurseNM3524OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1417946336
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOANNE P DAVIS PHDC, CNM
Provider Business Mailing Address
First Line : 1049 WESTERN AVE
Second Line :
City : CHILLICOTHEE
State : OH
Zip : 45601-1104
Country : US
Telephone Number : 740-773-4366
Fax Number : 740-775-7855
Provider Business Practice Location Address
First Line : 1049 WESTERN AVE
Second Line :
City : CHILLICOTHEE
State : OH
Zip : 45601-1104
Country : US
Telephone Number : 740-773-4366
Fax Number : 740-775-7855
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/14/2005
Last Update Date : 12/14/2025

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Directions to “ JOANNE P DAVIS PHDC, CNM” Practice Location

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