Individual
DESIREE TOWNSEND DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP
Contact information
Practice address
620 FARM LIFE AVE, VANCEBORO, NC 28586-7673
(252) 244-1785
(252) 244-2876
Mailing address
PO BOX 68, POLLOCKSVILLE, NC 28573-0068
(252) 635-3906
(252) 224-0378
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
0024177186
VA
363LA2200X
Adult Health Nurse Practitioner
Primary
5018680
NC
Other
Enumeration date
02/12/2019
Last updated
10/10/2023
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