Individual
MRS. NISH L.S DAVIS-DICKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA. BA.BS HR
Contact information
Practice address
417 KENNEDY DR, CROWLEY, TX 76036-4052
(214) 554-0595
(817) 900-7219
Mailing address
417 KENNEDY DR, CROWLEY, TX 76036-4052
(214) 554-0595
(817) 900-7219
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
—
246Y00000X
Health Information Specialist/Technologist
—
—
261QH0100X
Health Service Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
47-2948753
MOBILE PHLEBOTOMY
TX
Enumeration date
05/14/2018
Last updated
08/25/2025
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