Individual
MELISSA MARIE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
104 W COMMERCE ST, PLANKINTON, SD 57368
(605) 299-8234
(605) 799-1165
Mailing address
PO BOX 35, PLANKINTON, SD 57368-0035
(605) 299-8234
(605) 799-1165
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R1489646
MN
363LF0000X
Family Nurse Practitioner
Primary
CP000552
SD
Other
Enumeration date
07/16/2008
Last updated
05/16/2022
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