Individual
LESLEY K DAVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1000 WASHINGTON ST W STE A, FAYETTEVILLE, TN 37334-2872
(931) 433-3231
(931) 438-1567
Mailing address
1000 WASHINGTON ST W STE A, FAYETTEVILLE, TN 37334-2872
(931) 433-3231
(931) 438-1567
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN0000141418
TN
Other
Enumeration date
10/04/2007
Last updated
10/04/2007
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