Jack Davison, RN - Registered Nurse in Provo, UT

Jack Davison, RN is a Registered Nurse - Psychiatric/mental Health, Child & Adolescent based in Provo, Utah. Jack Davison is licensed to practice in Utah (license number 302471-3102) and his current practice location is 750 N Freedom Blvd, Provo, Utah. He can be reached at his office (for appointments etc.) via phone at (801) 852-4735.

NPI number for Jack Davison is 1285206854 and his current mailing address is 750 N Freedom Blvd, Provo, Utah. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1285206854.

Contact Information

Jack Davison, RN
750 N Freedom Blvd,
Provo, UT 84601-1677
(801) 852-4735
Not Available

Map and Direction




Provider's Profile

Full NameJack Davison
GenderMale
SpecialityRegistered Nurse - Psychiatric/mental Health, Child & Adolescent
Location750 N Freedom Blvd, Provo, Utah
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1285206854
  • Provider Enumeration Date: 07/13/2021
  • Last Update Date: 07/13/2021

Medical Identifiers

Medical identifiers for Jack Davison such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285206854NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WP0808XRegistered Nurse - Psychiatric/mental Health 302471-3102 (Utah)Secondary
163WP0807XRegistered Nurse - Psychiatric/mental Health, Child & Adolescent 302471-3102 (Utah)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jack Davison is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jack Davison, RN
750 N Freedom Blvd,
Provo, UT 84601-1677

Ph: (801) 852-4735
Jack Davison, RN
750 N Freedom Blvd,
Provo, UT 84601-1677

Ph: (801) 852-4735

Reviews and Comments


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