Individual
NICOLE ELIZABETH DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4420 N LINCOLN BLVD, OKLAHOMA CITY, OK 73105-5104
(405) 425-0341
Mailing address
4400 N LINCOLN BLVD, OKLAHOMA CITY, OK 73105-5108
(405) 425-0437
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L0059316
OK
Other
Enumeration date
04/16/2021
Last updated
04/16/2021
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