Individual
EBONEE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
2400 CANAL ST, NEW ORLEANS, LA 70119-6535
(800) 935-8387
Mailing address
4132 MEDOC DR, KENNER, LA 70065-1923
(504) 905-8647
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP10181
LA
Other
Enumeration date
09/21/2010
Last updated
12/06/2022
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