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

Dr. Jacqueline Violet Davis

Individual provider Gerontology Nurse Practitioner · NPI 1710687678

Dr. Jacqueline Violet Davis is a Gerontology Nurse Practitioner in Freeport, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2023

Practice location Address checks out

642 Miller Ave
Freeport, NY 11520-6313
Phone: (347) 610-6206
Show map & directions

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

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 582057-1 (NY)

Record details

NPI number1710687678
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 8, 2023
Last updated in NPPESMarch 8, 2023
Certification dateMarch 8, 2023
Mailing address642 Miller Ave, Freeport, NY 11520-6313

Other providers in Freeport