Individual
EMILY DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-1000
Mailing address
3970 HIGHWAY 503, ROSE HILL, MS 39356-5304
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
903850
MS
Other
Enumeration date
02/13/2020
Last updated
11/04/2021
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