Individual
LAKEISHA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP, PMHNP-BC
Contact information
Practice address
501 S 54TH ST, PHILADELPHIA, PA 19143-1900
(215) 748-9000
Mailing address
1335 WEAVER ST, PHILADELPHIA, PA 19150-2230
(267) 315-0499
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP028672
PA
Other
Enumeration date
11/24/2023
Last updated
11/24/2023
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