Individual
KENISHA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
2944 N STAGE PLZ, BARTLETT, TN 38134-3705
(901) 503-5313
Mailing address
2565 VAUXHALL PL, CORDOVA, TN 38016-4667
(901) 503-5313
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
246971
TN
163WC0400X
Case Management Registered Nurse
Primary
246971
TN
246Z00000X
Other Specialist/Technologist
191170
TN
Other
Enumeration date
11/05/2019
Last updated
09/27/2021
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