Individual
MS. DEBORAH M DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
700 WOODLAND DRIVE, WINONA, MS 38967
(662) 283-3060
(662) 283-3553
Mailing address
8613 MS HIGHWAY 12, ACKERMAN, MS 39735-8917
(662) 285-9460
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R818696
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0121694
—
MS
Enumeration date
08/01/2006
Last updated
03/10/2020
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