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NICOLE G DAVIS NP
Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1760145494
Individual Registrant: NICOLE G DAVIS NP
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
2639 GILMER AVE TALLASSEE, AL 36078-7231 US
Tel: 334-283-3975 Fax: --
Tel: 334-283-3975 Fax: --
Contact information for business:
2214 WINDING OAK DR OPELIKA, AL 36804-0595 US
Tel: 334-618-8057 Fax: --
Tel: 334-618-8057 Fax: --
Registration Information:
NPI: 1760145494
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family | AL | 1-129447 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
