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Individual
TERESA DIANNE DAVIS
Active
Individual
TERESA DIANNE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN0000015005
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F0510008
AANP
TN
Enumeration date
06/03/2010
Last updated
10/11/2011
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