Individual
TYISHA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
104 WHISPERING PINES AVE, FRIENDSWOOD, TX 77546-4911
(281) 652-5535
Mailing address
4035 MERRY MEADOW CT, SUGAR LAND, TX 77479-4516
(410) 504-7576
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1025741
TX
Other
Enumeration date
01/06/2021
Last updated
03/30/2021
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