Individual
AEISHA J DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6340 SECURITY BLVD STE 100, BALTIMORE, MD 21207-5284
(443) 687-8077
(443) 687-8117
Mailing address
6340 SECURITY BLVD STE 100, BALTIMORE, MD 21207-5284
(443) 687-8077
(443) 687-8117
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R231433
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R231433
MD
Other
Enumeration date
02/16/2024
Last updated
10/28/2025
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