Individual
DEBORAH DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APN
Contact information
Practice address
405 FAIRGROUNDS RD, TIPTON, IN 46072-9596
(765) 408-0536
(765) 405-0539
Mailing address
800 FULTON ST, LOGANSPORT, IN 46947-1577
(574) 205-2600
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
309.007493
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
71007149A
IN
Other
Enumeration date
09/08/2014
Last updated
07/21/2022
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