Individual
CASSANDRA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7940 WILLIAMS POND LN STE 175, CHARLOTTE, NC 28277-8766
(704) 752-7779
Mailing address
7304 HONEY BEE RD, MONROE, NC 28110-9010
(704) 771-2052
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5011382
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5011382
NORTH CAROLINA BOARD OF NURSING
NC
Enumeration date
01/22/2019
Last updated
01/22/2019
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