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Individual
MELISSA DAVIS
Active
Individual
MELISSA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
SP030603
PA
363LF0000X
Family Nurse Practitioner
Primary
R217256
MD
363LF0000X
Family Nurse Practitioner
SP030603
PA
363LP2300X
Primary Care Nurse Practitioner
SP030603
PA
Other
Enumeration date
07/05/2018
Last updated
02/09/2026
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