# DORIS ANN LYNETTE DAVIS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1609406784
- **Gender:** F
- **Credential:** APRN, AGPCNP-BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 21864 | SC | — |
| 363L00000X | Nurse Practitioner | 227372 | GA | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | 227372 | GA | — |
| 363LG0600X | Gerontology Nurse Practitioner | 227372 | GA | — |
| 363LP2300X | Primary Care Nurse Practitioner | 21864 | SC | — |
| 363LP2300X | Primary Care Nurse Practitioner | 227372 | GA | — |

## Other

- **Enumeration date:** 01/17/2020
- **Last updated:** 01/17/2020