NPI | 1437728037 |
---|---|
Professional Name | NICOLE MARIE DAVIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MT NUR-APRN-LIC-176359) |
Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: ID 70357) |
363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: AZ 267058) | |
363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: FL TPAN1125) | |
Enumeration Date | 2021-06-18 |
Last Update Date | 2024-10-03 |