Individual
DESIREE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1100 E CHURCH ST, MARTINSVILLE, VA 24112-3225
(434) 284-0978
Mailing address
1100 E CHURCH ST, MARTINSVILLE, VA 24112-3225
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024183576
VA
Other
Enumeration date
01/28/2022
Last updated
01/04/2024
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