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

Jennifer A Davis

Individual provider Nurse Practitioner · NPI 1619490711

Jennifer A Davis is a Nurse Practitioner in Waupun, Wisconsin. Qualified in 2017, 9 years ago. Practices with Mid-South Home Care Services LLC, a 101-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Wisconsin.

Years since qualifying
9
Licensed in
WI
In the registry since
2017
Specialties on file
2

Practice location Address checks out

160 Gateway Dr
Waupun, WI 53963-2276
Phone: (920) 324-9899
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 7769 (WI)
Nurse Practitioner Taxonomy 363L00000X · Licence 7769 (WI)

Record details

NPI number1619490711
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 20, 2017
Last updated in NPPESOctober 10, 2023
Certification dateOctober 10, 2023
Mailing address160 Gateway Dr, Waupun, WI 53963-2276

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Mid-South Home Care Services Llc — 101 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Waupun