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

Jeffrey Lynn Davis, PA

Individual provider Medical Physician Assistant · NPI 1790061919

Jeffrey Lynn Davis, PA is a Physician Assistant in Salt Lake City, Utah. Qualified in 2011, 15 years ago. Practices with Ihc Health Services Inc, a 3,947-clinician group and accepts Medicare assignment. Licensed in Arizona, New Mexico and Utah.

Years since qualifying
15
Licensed in
AZ, NM, UT
In the registry since
2011
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

389 S 900 E
Salt Lake City, UT 84102-2310
Phone: (385) 282-2850
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 8233732-1206 (UT)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 5063 (AZ)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA2012-0043 (NM)

Record details

NPI number1790061919
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 2, 2011
Last updated in NPPESJanuary 20, 2017

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Ihc Health Services Inc — 3947 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations12 on file with Medicare

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