Davin Ray Modisette
Radiologic Technologist · Jackson, TN
Practice location
23 Westhaven PlJackson, TN 38305-1758
- Phone
- (318) 475-0690
- Fax
- (731) 435-3385
NPI record
- NPI
- 1356721245
- Entity type
- Individual (Type 1)
- Enumeration date
- June 4, 2015
- Last updated
- December 28, 2022
- Certified
- December 28, 2022
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiologic Technologist Primary | 247100000X |
487010 | TN |
About Davin Modisette
Davin Ray Modisette is a healthcare provider registered in the NPI registry with the primary taxonomy Radiologic Technologist (code 247100000X). The practice location is 23 Westhaven Pl, Jackson, TN 38305-1758. The NPI number 1356721245 was assigned on June 4, 2015 and the record was last updated on December 28, 2022.
Davin Modisette lists a license in the registry: #487010 (TN) for Radiologic Technologist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Davin Ray Modisette?
The NPI number is 1356721245.
What is the phone number of Davin Modisette?
The phone number listed for the practice location is (318) 475-0690.
Where is Davin Modisette located?
23 Westhaven Pl, Jackson, TN 38305-1758.
What is the taxonomy code for Davin Modisette?
The primary taxonomy code is 247100000X – Radiologic Technologist.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.