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Organization
STACEY MICHEL DAVIS, LLC
Active
Organization
STACEY MICHEL DAVIS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STACEY MICHEL DAVIS ARNP (NURSE PRACTITIONER)
(904) 993-1259
Entity
Organization
Contact information
Practice address
4217 BAYMEADOWS RD STE 3, JACKSONVILLE, FL 32217-4676
(904) 332-7431
(904) 332-7408
Mailing address
11672 SPRING BOARD DR, JACKSONVILLE, FL 32218-7574
(904) 993-1259
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
ARNP9223841
FL
Other
Enumeration date
10/24/2011
Last updated
10/24/2011
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