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Individual
MARY B. DAVIS
Active
Individual
MARY B. DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
12127
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12127
APN
TN
01
—
73818
RN
TN
Enumeration date
10/17/2006
Last updated
09/13/2011
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