Individual
HALLIE CAROLINE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1081 E 18TH ST, ROLLA, MO 65401-2448
(573) 426-4455
(573) 426-6723
Mailing address
1081 E 18TH ST, ROLLA, MO 65401-2448
(573) 426-4455
(573) 426-6723
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2024020241
MO
Other
Enumeration date
06/04/2024
Last updated
06/04/2024
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