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Individual

LAURIE DEANNE DAVIS

Active
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Individual

LAURIE DEANNE 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
07173
TN
363LF0000X
Family Nurse Practitioner
218675
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1507242
TN
01
4155074
BCBS - TENNESSEE
TN
05
510329585A
GA
Enumeration date
03/31/2006
Last updated
09/12/2014
About Stedi
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