Individual
PHYLLIS DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
183 US HIGHWAY 206 S, CHESTER, NJ 07930-2402
(866) 389-2727
(401) 652-9787
Mailing address
PO BOX 772, MINUTECLINIC CREDENTIALING, WOONSOCKET, RI 02895-0784
(866) 389-2727
(401) 652-9787
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP023559
PA
Other
Enumeration date
05/10/2011
Last updated
08/21/2023
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