Individual
CORY DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5885 HARRISON AVE, CINCINNATI, OH 45248-1691
(513) 922-9660
(513) 347-2347
Mailing address
237 WILLIAM HOWARD TAFT RD, CINCINNATI, OH 45219-2610
(513) 351-9900
(513) 366-4491
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
COA.16107-NP
OH
363LA2200X
Adult Health Nurse Practitioner
APRN.CNP.16107
OH
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN.CNP.16107
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
COA.16107-NP
OHIO LICENSE
OH
Enumeration date
07/01/2014
Last updated
10/22/2021
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