Individual
SUSAN JEAN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
2407 CLEAR CREEK RD, KILLEEN, TX 76549-5721
(254) 519-8803
Mailing address
2201 CLEAR CREEK RD, KILLEEN, TX 76549-4110
(254) 519-8107
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP140923
TX
Other
Enumeration date
06/18/2019
Last updated
07/17/2024
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