Individual
MS. MARGARET JEAN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
4276 LEGEND AVENUE, FAYETTEVILLE, NC 28303-3497
(910) 867-0035
(910) 867-0545
Mailing address
P.O. BOX 425, SUITE 207, WHITEVILLE, NC 28472-0425
(423) 915-5233
(423) 952-3109
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
110512
NE
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2006023930
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
200842
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31594
BLUE CROSS BLUE SHIELD NE
NE
05
—
6113058
—
NC
Enumeration date
08/15/2005
Last updated
07/27/2011
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