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Individual
STEPHANIE JO DAVIS
Active
Individual
STEPHANIE JO DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
663073
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
AP115548
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1824755
—
LA
05
—
185863101
—
TX
01
—
87147U
BLUE CROSS BLUE SHIELD
TX
01
—
P00394596
MEDICARE RAILROAD
TX
Enumeration date
12/28/2006
Last updated
08/05/2022
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