Individual
ABBIE NICOLE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1200 CHILDRENS AVE # 10A, OKLAHOMA CITY, OK 73104-4637
(405) 271-4412
Mailing address
1200 CHILDRENS AVE # 10A, OKLAHOMA CITY, OK 73104-4637
(405) 271-4412
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4645
OK
Other
Enumeration date
10/05/2021
Last updated
04/21/2022
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