Individual
ALICE V DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-BC
Contact information
Practice address
100 E NORMAL AVE, KIRKSVILLE, MO 63501-4200
(660) 785-4182
(660) 785-4011
Mailing address
100 E NORMAL AVE, KIRKSVILLE, MO 63501-4200
(660) 785-4182
(660) 785-4011
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
136720
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
425756319
—
MO
Enumeration date
12/20/2005
Last updated
03/02/2021
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