Individual
MRS. CHRISTINA LYNN DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
12301 GRAPEFIELD RD, BASTIAN, VA 24314-4547
(276) 688-4331
(276) 688-4336
Mailing address
12301 GRAPEFIELD RD, BASTIAN, VA 24314-4547
(276) 688-4331
(276) 688-4336
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001268640
VA
163W00000X
Registered Nurse
62971
WV
363LF0000X
Family Nurse Practitioner
0024174200
VA
363LF0000X
Family Nurse Practitioner
Primary
APRN62971NP
WV
Other
Enumeration date
10/25/2007
Last updated
04/07/2020
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