Individual
COURTNEY ELISE DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17065 U. S. HWY 71, BELTON, MO 64012
(816) 348-1200
Mailing address
17065 U. S. HWY 71, BELTON, MO 64012
(816) 348-1200
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2023003914
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2023003914
MISSOURI STATE BOARD OF NURSING
MO
Enumeration date
02/07/2023
Last updated
02/07/2023
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