Individual
MARY ELIZABETH DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
222 PHILLIP STONE WAY, CENTRAL CITY, KY 42330-1929
(270) 754-3494
(270) 754-3499
Mailing address
222 PHILLIP STONE WAY, CENTRAL CITY, KY 42330-1929
(270) 754-3494
(270) 754-3499
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3015423
KY
363LF0000X
Family Nurse Practitioner
95015833
CA
Other
Enumeration date
12/04/2020
Last updated
10/06/2022
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