Individual
ELISA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, FNP-BC
Contact information
Practice address
121 BRADWICK CIR, DEBARY, FL 32713-2125
(386) 717-9121
Mailing address
121 BRADWICK CIR, DEBARY, FL 32713-2125
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11001550
FL
Other
Enumeration date
03/20/2019
Last updated
03/20/2019
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