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Individual
PAMELA G DAVIS
Active
Individual
PAMELA G DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
14820
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6458P
KY LIC NUMBER
KY
Enumeration date
03/11/2010
Last updated
02/15/2012
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