Individual
NICOLE G DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2639 GILMER AVE, TALLASSEE, AL 36078-7231
(334) 283-3975
Mailing address
2214 WINDING OAK DR, OPELIKA, AL 36804-0595
(334) 618-8057
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-129447
AL
Other
Enumeration date
10/19/2021
Last updated
10/19/2021
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