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

Katy Davis

Individual provider General Practice Physician · NPI 1124775754

Katy Davis is a General Practice Physician in Jacksonville, Florida. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2022

Practice location Address checks out

2080 Child St
Jacksonville, FL 32214-2575
Phone: (904) 542-9417
Show map & directions

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

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 0101279685 (VA)

Record details

NPI number1124775754
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 3, 2022
Last updated in NPPESSeptember 22, 2023
Certification dateSeptember 22, 2023
Mailing address100 Brewster Blvd, Camp Lejeune, NC 28547-2575

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