Individual
WESLEY SCOTT DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGNP
Contact information
Practice address
101 N ELM ST STE D, PIERCE CITY, MO 65723-1233
(417) 297-0515
(417) 429-4543
Mailing address
148 DEER RUN ST, ROGERSVILLE, MO 65742-7553
(870) 391-9113
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2021018043
MO
Other
Enumeration date
05/20/2021
Last updated
05/20/2021
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