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Individual
TINA MARIE DAVIS
Active
Individual
TINA MARIE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024181094
VA
363LF0000X
Family Nurse Practitioner
1.032023
TX
363LF0000X
Family Nurse Practitioner
251990
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0024181094
VIRGINIA STATE LICENSE NUMBER
VA
01
—
1032023
TEXAS STATE LICENSE NUMBER
TX
01
—
2018032915
MO STATE LICENSE NUMBER
MO
01
—
3015996
KENTUCKY APRN
KY
01
—
APN.0993722
AANC
CO
Enumeration date
02/15/2018
Last updated
05/21/2025
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