Individual provider · Type 1 NPI

Jessica Harley Davidson, PA

Physician Assistant · Fort Irwin, CA

NPI number 1255099172 Active

Practice location

390 N. Loop Road
Fort Irwin, CA 92310

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1255099172

Jessica Harley Davidson, PA's National Provider Identifier is 1255099172, issued on Dec 8, 2021. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Fort Irwin, CA. The record was last updated on Oct 23, 2026.