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MRS. DANA NICHOLE DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
1900 EXETER RD, SUITE 210, GERMANTOWN, TN 38138-2954
(662) 315-0843
(901) 682-9522
Mailing address
1900 EXETER RD, SUITE 210, GERMANTOWN, TN 38138-2954
(662) 315-0843
(901) 682-9522

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
175063
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
175063
TN
367500000X
Certified Registered Nurse Anesthetist
90893
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
12518435
TN
01
1770827867
TRICARE/HUMANA/CHAMPUS
TN
05
196343001
AR
01
4342060
BLUE CROSS OF TN
TN
Enumeration date
11/15/2012
Last updated
10/17/2023
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