Individual
MS. YOLANDA TI'ESHA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC, CRNP-PMH
Contact information
Practice address
5026 CAMPBELL BLVD STE H, NOTTINGHAM, MD 21236-5051
(410) 780-2692
Mailing address
PO BOX 66142, BALTIMORE, MD 21239-6142
(410) 419-0314
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R229013
MD
Other
Enumeration date
04/30/2022
Last updated
04/30/2022
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