Individual
OLIVIA K DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1127 MAIN ST, VILONIA, AR 72173-9525
(501) 796-6740
(501) 796-6744
Mailing address
PO BOX 497, AUGUSTA, AR 72006-0497
(870) 347-2534
(870) 347-2023
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A005450
AR
Other
Enumeration date
01/09/2018
Last updated
01/09/2018
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