Individual
STEPHANIE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
909 E SE LOOP 323, TYLER, TX 75701-9612
(903) 531-2850
Mailing address
909 E SE LOOP 323, TYLER, TX 75701-9612
(903) 531-2850
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1094483
TX
Other
Enumeration date
09/26/2020
Last updated
12/15/2022
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