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

Andrew Jeremiah Davidson, STUDENT

Individual provider Physician Assistant · NPI 1871047639

Andrew Jeremiah Davidson, STUDENT is a Physician Assistant in Camp Lejeune, North Carolina. Licensed in Maryland, North Carolina and Texas. Registered with an NPI since 2016.

Licensed in
MD, NC, TX
In the registry since
2016
Specialties on file
3

Practice location Address checks out

100 Brewster Blvd
Camp Lejeune, NC 28547-2575
Phone: (214) 668-9607
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (MD)
Independent Duty Corpsman Taxonomy 1710I1002X · Licence 23588888 (TX)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 23588888 (NC)

Record details

NPI number1871047639
Entity typeIndividual (Type 1)
GenderMale
Credentials STUDENT
Sole proprietorNo
NPI enumeratedAugust 10, 2016
Last updated in NPPESMarch 11, 2026
Certification dateMarch 11, 2026

Other providers in Camp Lejeune