Individual provider · Type 1 NPI
Davin Ray Modisette
Radiologic Technologist · Jackson, TN
NPI number
1356721245
Active
Practice location
23 Westhaven Pl
Jackson, TN 38305-1758
Fax (731) 435-3385
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiologic Technologist Primary | 247100000X | 487010 (TN) |
Radiologic Technologist: A medical imaging or radiation therapy professional who is appropriately educated and trained to perform medical imaging procedures using ionizing and nonionizing radiation.
About NPI 1356721245
Davin Ray Modisette's National Provider Identifier is 1356721245, issued on Jun 4, 2015. The primary taxonomy on file is Radiologic Technologist (247100000X), and the practice location is in Jackson, TN. The record was last updated on Dec 28, 2022.