Individual
NEDERIA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
608 N US HIGHWAY 1, FORT PIERCE, FL 34950-3023
(352) 445-1200
Mailing address
5623 PLACE LAKE DR, FORT PIERCE, FL 34951-3138
(772) 940-1686
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11035349
FL
Other
Enumeration date
09/17/2024
Last updated
09/17/2024
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