Individual
STEPHANIE ELAINE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
7500 PARK BLVD N, PINELLAS PARK, FL 33781-3714
(727) 544-5437
Mailing address
2115 CENTRAL AVE, ST PETERSBURG, FL 33713-8815
(727) 526-9135
(727) 526-4346
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN11001669
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105675300
—
FL
Enumeration date
02/14/2020
Last updated
08/12/2022
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