Individual
MRS. DAVINA DEMERRITT NORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1434 N LIMESTONE ST, GAFFNEY, SC 29340-4734
(864) 487-2717
Mailing address
113 APRIL LN, DALLAS, NC 28034-9709
(704) 917-8275
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
158841
NC
363LF0000X
Family Nurse Practitioner
25625
SC
363LF0000X
Family Nurse Practitioner
Primary
5014058
NC
Other
Enumeration date
10/19/2020
Last updated
05/08/2024
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