Individual
STACY LYNN DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
7300 HALCYON SUMMIT DR, MONTGOMERY, AL 36117-3699
(205) 977-9876
(205) 977-9976
Mailing address
1940 STONEGATE DR, STE 130, VESTAVIA HLS, AL 35242-2541
(205) 977-9876
(205) 977-9976
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-085135
AL
Other
Enumeration date
05/01/2012
Last updated
02/25/2018
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