Individual
JUSTIN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
1225 S WILLOW AVE STE 102, COOKEVILLE, TN 38506-4102
(931) 284-4814
(615) 549-7044
Mailing address
529 PLEASANT HILL DR, COOKEVILLE, TN 38501-2850
(931) 267-8866
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0000235209
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
38299
TN
Other
Enumeration date
01/14/2025
Last updated
07/10/2025
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