Individual
PROF. DELORIAN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
10320 FELD FARM LN STE 300, CHARLOTTE, NC 28210-8484
(980) 488-9870
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(980) 488-9870
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5016806
NC
363LF0000X
Family Nurse Practitioner
F04210610
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790458271
—
NC
Enumeration date
07/29/2021
Last updated
12/26/2025
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