Individual
MRS. AMANDA JANE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
923 PENNSYLVANIA AVE, SUITE 200, FORT WORTH, TX 76104-2254
(817) 920-0484
(817) 920-0068
Mailing address
P.O. BOX 961205, FORT WORTH, TX 76161-1205
(817) 740-8400
(817) 378-3699
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP126177
TX
Other
Enumeration date
11/03/2014
Last updated
11/25/2014
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