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Individual
SUEANNE DAVIDSON
Active
Individual
SUEANNE DAVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1-06250
AL
363L00000X
Nurse Practitioner
Primary
R865907
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08470589
—
MS
01
—
562251777
BLUE CROSS
MS
01
—
P00191280
RAILROAD MEDICARE
MS
Enumeration date
06/08/2006
Last updated
08/13/2025
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