Individual
MRS. COURTNEY LANE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C, AGACNP-BC
Contact information
Practice address
2382 CRAWFORDVILLE HWY STE C, CRAWFORDVILLE, FL 32327-1091
(850) 926-6363
Mailing address
42 EGRET ST N, CRAWFORDVILLE, FL 32327-1411
(573) 855-2887
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
APRN11002624
FL
363LF0000X
Family Nurse Practitioner
Primary
APRN11002624
FL
Other
Enumeration date
03/21/2019
Last updated
04/23/2021
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