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

Jacqueline Grainger Davidson

Individual provider Physician Assistant · NPI 1093299661

Jacqueline Grainger Davidson is a Physician Assistant in Lafayette, Colorado. Qualified in 2018, 8 years ago. Offers telehealth.

Years since qualifying
8
In the registry since
2018
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Practice location Address checks out

2540 Westward Dr
Lafayette, CO 80026-9176
Phone: (720) 841-7379
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1093299661
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 19, 2018
Last updated in NPPESSeptember 19, 2018
Mailing address2540 Westward Dr, Lafayette, CO 80026-9176

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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