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

Jim Dylan Davis, CAPRC, CPSP

Individual provider Peer Specialist · NPI 1679361893

Jim Dylan Davis, CAPRC, CPSP is a Peer Specialist in Lafayette, Indiana. Licensed in Indiana. Registered with an NPI since 2025.

Licensed in
IN
In the registry since
2025

Practice location Address checks out

914 S St
Lafayette, IN 47901-1416
Phone: (765) 742-1088
Show map & directions

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

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X (IN)

Record details

NPI number1679361893
Entity typeIndividual (Type 1)
GenderMale
Credentials CAPRC , CPSP
Sole proprietorNo
NPI enumeratedApril 28, 2025
Last updated in NPPESApril 28, 2025
Certification dateApril 28, 2025
Mailing address531 Duroc Ct Apt A, Lafayette, IN 47909-6779

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