Individual
ERIN E DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP, FNP
Contact information
Practice address
1300 E BRADFORD PKWY, SPRINGFIELD, MO 65804-4264
(417) 761-5000
(417) 761-5011
Mailing address
2885 W BATTLEFIELD ST, SPRINGFIELD, MO 65807-3952
(417) 761-5214
(417) 761-5065
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2012024437
MO
363LF0000X
Family Nurse Practitioner
2019011521
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2019011521
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420072489
—
MO
Enumeration date
04/04/2019
Last updated
05/16/2023
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