Individual
MS. DENISE ALANE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
115 PONDEROSA WAY, JACKSONVILLE, OR 97530
(541) 951-3720
Mailing address
115 PONDEROSA WAY, JACKSONVILLE, OR 97530-9018
(541) 951-3720
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201700651NP-PP
OR
Other
Enumeration date
02/09/2017
Last updated
02/09/2017
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