Individual
MICHELE LINNETTE DAVIS
Active
Individual
MICHELE LINNETTE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2020021045
MO
363LF0000X
Family Nurse Practitioner
53-79143-092
KS
363LF0000X
Family Nurse Practitioner
79143
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420089696
—
MO
01
—
853001
MEDICARE
MO
Enumeration date
12/11/2019
Last updated
04/07/2026
Update your record
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