Individual
CONNIE A DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN-BC
Contact information
Practice address
113 W RUBY STREET, STEPHENS, AR 71764
(870) 786-9114
(870) 786-5530
Mailing address
113 W RUBY STREET, STEPHENS, AR 71764
(870) 786-9114
(870) 786-5530
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
ATP000195
AR
Other
Enumeration date
03/25/2009
Last updated
03/25/2009
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