1235982349 NPI number — CHEYENNE LEIGH DAVIS HIGH SCHOOL DIPLOMA

Table of content: CHEYENNE LEIGH DAVIS HIGH SCHOOL DIPLOMA (NPI 1235982349)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1235982349 NPI number — CHEYENNE LEIGH DAVIS HIGH SCHOOL DIPLOMA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
DAVIS
Provider First Name:
CHEYENNE
Provider Middle Name:
LEIGH
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
HIGH SCHOOL DIPLOMA
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1235982349
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/09/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
464099 STATE ROAD 200
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
YULEE
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
32097-6459
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
904-875-4461
Provider Business Mailing Address Fax Number:
904-659-0130

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
464099 STATE ROAD 200
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
YULEE
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32097-6459
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
904-875-4461
Provider Business Practice Location Address Fax Number:
904-659-0130
Provider Enumeration Date:
04/09/2024

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 106S00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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