Minnie C Davis
Home Health Aide in Jackson, MS. Individual provider (NPI-1).
NPI number1366093635
StatusActive
Last updated in NPPESSep 26, 2019
Details
- NPI
- 1366093635
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Minnie C Davis
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 26, 2019
- Last updated
- Sep 26, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- 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 |
|---|---|---|---|---|
| 374U00000X | Home Health Aide | – | MS | Yes |
Practice location
2871 Woodside DrJackson, MS 39212-2617
Phone 601-882-3300
Mailing address
Po Box 6642Jackson, MS 39282-6642
Phone 601-882-3300
Is something wrong?
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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All 31 Home Health Aide providers in Jackson · All 8,702 providers in Jackson
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