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

Jack Mathew Davis, FNP

Individual provider Family Nurse Practitioner · NPI 1063529162

Jack Mathew Davis, FNP is a Family Nurse Practitioner in APO, Armed Forces Pacific. Licensed in Arizona. Registered with an NPI since 2006.

Licensed in
AZ
In the registry since
2006
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

See every abbreviation used in this directory →

Practice location Incomplete address

The federal record is missing the street or ZIP for this provider.

18TH Medcom Attn: Dccs-Qm (credentials)
APO, AP 96205-0054
Phone: 01182279166027
Fax: 01182279178110

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN073330 (AZ)

Record details

NPI number1063529162
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP
Sole proprietorNo
NPI enumeratedAugust 24, 2006
Last updated in NPPESJuly 21, 2022
Mailing address3523 Trailway Park St, San Antonio, TX 78247-2927

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