Individual provider · Type 1 NPI

Darrell Davis JR

Licensed Practical Nurse · Buffalo, NY

NPI number 1205752664 Active

Practice location

500 Seneca St
Buffalo, NY 14204-1963

Mailing address

1695 Elmwood Ave Apt 23
Buffalo, NY 14207-2474

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X337662-01 (NY)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1205752664

Darrell Davis JR's National Provider Identifier is 1205752664, issued on Jun 29, 2026. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Buffalo, NY. The record was last updated on Jun 29, 2026.