Individual
MRS. CASSIE MICHELLE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP-C
Contact information
Practice address
2631 CENTENNIAL BLVD, STE 100, TALLAHASSEE, FL 32308-0588
(850) 877-8539
Mailing address
2631 CENTENNIAL BLVD, STE 100, TALLAHASSEE, FL 32308-0588
(850) 877-8539
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
9178836
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001495100
—
FL
Enumeration date
09/18/2009
Last updated
09/23/2010
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