Individual
MRS. TRAVONIA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
3333 SILAS CREEK PKWY, WINSTON SALEM, NC 27103-3013
(336) 718-3550
(336) 277-6981
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(336) 718-3550
(336) 277-6981
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5004985
NC
363LF0000X
Family Nurse Practitioner
5004985
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
5004985
NC
Other
Enumeration date
11/27/2010
Last updated
10/27/2020
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