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NICOLE G DAVIS NP

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1760145494

Individual Registrant:
 NICOLE G DAVIS NP
Gender: F
Sole Proprietor

Location and contact information for practice:
2639 GILMER AVE  TALLASSEE, AL 36078-7231 US
Tel: 334-283-3975  Fax: --

Contact information for business:
2214 WINDING OAK DR  OPELIKA, AL 36804-0595 US
Tel: 334-618-8057  Fax: --

Registration Information:
NPI: 1760145494
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
AL1-129447

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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