Individual
MS. DEJA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
150 BURNETTS WAY STE 320, SUFFOLK, VA 23434-8288
(757) 934-1900
(757) 925-6719
Mailing address
5839 HARBOUR VIEW BLVD STE 201, SUFFOLK, VA 23435-3797
(757) 934-1900
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024178059
VA
363LF0000X
Family Nurse Practitioner
0024178059
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0024178059
—
VA
Enumeration date
04/05/2020
Last updated
05/01/2026
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