Individual
HARLEY JOSEPH DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
835 CENTRAL AVE, ASHLAND, KY 41101-7423
(606) 547-4400
(606) 547-4180
Mailing address
2901 PIGEON ROOST RD, RUSH, KY 41168-8132
(606) 928-6648
(606) 928-1056
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1159978
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4051375
KY
Other
Enumeration date
04/02/2019
Last updated
03/05/2026
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