Molly Jo Davis, NP
Nurse Practitioner, Family in Marietta, OH. Individual provider (NPI-1).
NPI number1124547435
StatusActive
Last updated in NPPESJun 4, 2018
Details
- NPI
- 1124547435
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Molly Jo Davis
- Credential
- NP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 18, 2017
- Last updated
- Jun 4, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | APRN.CNP.021441 | OH | Yes |
Practice location
401 Matthew StMarietta, OH 45750
Phone 740-374-1400
Mailing address
481 Bricktone DrBlacklick, OH 43004-9224
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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