Individual
CHASITY DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2009 HIGHWAY 82 W, GREENWOOD, MS 38930-2741
(662) 595-4601
Mailing address
1966 HILL DR, GRENADA, MS 38901-5047
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
905965
MS
Other
Enumeration date
01/04/2021
Last updated
05/22/2024
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