Individual
MICHELE LINNETTE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3135 PROSPECT AVE, KANSAS CITY, MO 64128-1552
(816) 209-1237
(816) 209-1238
Mailing address
102 WOODMONT BLVD STE 600, NASHVILLE, TN 37205-5250
(888) 987-1151
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
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