NPI
Jim S. Davis
This page is a copy of the public NPPES file.
Facts
- Status
- Active
- Credential
- CRNA
- Type
- Individual
- Enumeration date
- 2007-03-23
- Last updated
- 2007-07-08
Specialties
Licenses
- License MN
- 026093
Location
- Practice location
- 1601 Golf Course Rd
- City
- Grand Rapids MN
- Postal code
- 55744-8648
- Phone
- (218) 326-5000
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.
Nearby
Other NPIs in Grand Rapids, MN. 675 records in the public file.
Removal request
Public data from NPPES and CMS. Not a credentialing determination.