Individual
STACEY DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
120 5TH AVE, MCCOMB, MS 39648-4159
(601) 249-0039
(601) 730-6667
Mailing address
1701 WHITE ST, MCCOMB, MS 39648-2711
(601) 249-4218
(601) 249-4234
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
907146
MS
Other
Enumeration date
03/10/2020
Last updated
04/11/2025
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