Individual
DEBORAH ANN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
10151 DEERWOOD PARK BLVD STE 200-250, JACKSONVILLE, FL 32256-0589
(904) 309-9996
(855) 632-8329
Mailing address
PO BOX 772, PONTE VEDRA, FL 32004-0772
(904) 610-7203
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP2124972
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003128909A
—
GA
05
—
007222600
—
FL
Enumeration date
10/13/2012
Last updated
07/29/2014
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