{"npi":"1659638310","type":"NPI-1","status":"active","name":{"display":"Jennifer Davidson D.O.","other":[{"code":"1","type":"Formerly known as","value":"HENDRICK, JENNIFER MICHELLE"}],"first":"JENNIFER","last":"DAVIDSON","middle":"MICHELLE","credential":"D.O."},"specialty":{"primary_taxonomy":"2080N0001X","primary_taxonomy_description":"Neonatal-Perinatal Medicine Physician","slug":"neonatal-perinatal-medicine-physician","schema_org_specialty":null,"all":[{"code":"2080N0001X","description":"Neonatal-Perinatal Medicine Physician","primary":true,"state":"TN","license":"2713"}]},"addresses":[{"purpose":"LOCATION","street_1":"853 JEFFERSON AVE STE 201","city":"MEMPHIS","state":"TN","postal_code":"38103","country_code":"US","phone":"9014485950"},{"purpose":"MAILING","street_1":"1068 CRESTHAVEN RD STE 300","city":"MEMPHIS","state":"TN","postal_code":"381190809","country_code":"US"}],"license":{"state":"TN","number":"2713"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"05188531","state":"MS","issuer":null},{"type_code":"05","label":"Medicaid","value":"7100589420","state":"KY","issuer":null},{"type_code":"05","label":"Medicaid","value":"Q008515","state":"TN","issuer":null},{"type_code":"05","label":"Medicaid","value":"1659638310","state":"MO","issuer":null},{"type_code":"05","label":"Medicaid","value":"210036003","state":"AR","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20141003000072","type_code":"14-37","type_desc":"PRACTITIONER - PEDIATRIC MEDICINE","state":"TN","pac_id":"0345460986"},{"enrlmt_id":"I20250505002844","type_code":"14-37","type_desc":"PRACTITIONER - PEDIATRIC MEDICINE","state":"AR","pac_id":"0345460986"}]},"enumeration_date":"2012-04-19","last_updated":"2025-02-25","_meta":{"source":"NPPES","snapshot_date":"2025-02-25","doc_url":"https://findmynpi.com/api"}}