Individual
MRS. ALICIA DAWN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
675 OAKLEAF OFFICE LN STE 200, MEMPHIS, TN 38117-4863
(901) 512-4632
Mailing address
PO BOX 770750, MEMPHIS, TN 38177-0750
(901) 512-4632
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
904123
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q063981
—
TN
Enumeration date
10/07/2020
Last updated
05/03/2023
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