Individual
AMY RENEE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
1-096367
AL
Other
Enumeration date
07/08/2019
Last updated
07/08/2019
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