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