CLINTON DAVIS

KINGSPORT, TN
NPI1205443058
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: TN  28302)
Enumeration Date2020-09-25
Last Update Date2020-09-25
Business Address
CLINTON DAVIS APRN, PMHNP
1025 EXECUTIVE PARK BLVD
KINGSPORT, TN 37660-4620
Phone number: 423-830-8110
Mailing Address
CLINTON DAVIS APRN, PMHNP
458 HUNTERS CROSSING LN
KINGSPORT, TN 37664-5453
Phone number: 423-341-4475
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