Individual
SAMANTHA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
415 CROOKED RD, DE QUEEN, AR 71832-9024
(111) 111-1111
Mailing address
415 CROOKED RD, DE QUEEN, AR 71832-9024
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10059663
OR
363LF0000X
Family Nurse Practitioner
A005362
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
223149758
—
AR
Enumeration date
09/21/2017
Last updated
06/01/2026
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