Individual
MRS. TABITHA JEANNE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
205 W HIGHWAY 60, IRVINGTON, KY 40146-6284
(270) 547-7161
Mailing address
PO BOX 950244, LOUISVILLE, KY 40295-0244
(502) 953-4700
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3017451
KY
Other
Enumeration date
02/25/2022
Last updated
12/11/2025
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