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Individual

LAURA ANNE DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AGACNP, BC

Contact information

Practice address
800 PRUDENTIAL DR STE 1100, JACKSONVILLE, FL 32207-8202
(904) 338-6518
(904) 384-1005
Mailing address
4205 BELFORT RD, STE 4015, JACKSONVILLE, FL 32216-3623
(904) 450-6017
(904) 450-6041

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
ARNP9348564
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003166422A
GA
05
015011400
FL
Enumeration date
06/02/2015
Last updated
06/17/2024
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