Individual
GREGORY ALAN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MNSC, APRN FNP-C
Contact information
Practice address
108 HIDDEN VALLEY LOOP, MAUMELLE, AR 72113-6781
(501) 352-1103
Mailing address
108 HIDDEN VALLEY LOOP, MAUMELLE, AR 72113-6781
(501) 352-1103
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R104805
AR
363LF0000X
Family Nurse Practitioner
Primary
220778
AR
Other
Enumeration date
08/19/2022
Last updated
08/19/2022
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