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Individual

ALEXIS DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NNP-BC

Contact information

Practice address
7601 OSLER DR, TOWSON, MD 21204-7700
(410) 337-1150
Mailing address
9 WOODY CIR, HAMPTON, VA 23669-1653
(757) 660-3833

Taxonomy

Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
0024182784
VA
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
AC005523
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0001252030
RN LICENSE - STATE BOARD OF NURSING
VA
01
0024182784
NNP LICENSE - STATE BOARD OF NURSING
VA
01
104731431
NCC
VA
Enumeration date
10/04/2021
Last updated
08/07/2023
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