Individual
LATORIA D DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1115 E TYLER ST, ATHENS, TX 75751-2145
(903) 292-5015
Mailing address
1115 E TYLER ST, ATHENS, TX 75751-2145
(903) 292-5015
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1099797
TX
363LF0000X
Family Nurse Practitioner
1099797
TX
363LP2300X
Primary Care Nurse Practitioner
1099797
TX
Other
Enumeration date
11/29/2022
Last updated
01/30/2023
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