Individual
MARY L DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
831 SIMPSON RD, KISSIMMEE, FL 34744-5328
(407) 483-5757
(855) 342-2122
Mailing address
831 SIMPSON RD, KISSIMMEE, FL 34744-5328
(407) 483-5757
(855) 342-2122
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
PMD16083
FL
163W00000X
Registered Nurse
RN2835352
FL
363L00000X
Nurse Practitioner
APRN2835352
FL
363LA2200X
Adult Health Nurse Practitioner
ARNP2835352
FL
363LC1500X
Community Health Nurse Practitioner
APRN2835352
FL
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN2835352
FL
364SG0600X
Gerontology Clinical Nurse Specialist
ARNP2835352
FL
Other
Enumeration date
05/27/2014
Last updated
05/14/2025
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