Individual
MS. NYKISHIA NICOLE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
7725 RUGBY ST, PHILA, PA 19150-2507
(267) 973-2379
Mailing address
51. N 39TH ST, MUTCH BUILDING 6TH FL M040, PHILADELPHIA, PA 19104
(152) 662-9798
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
SP018345
PA
Other
Enumeration date
12/14/2017
Last updated
12/18/2020
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