Individual
MS. CHARLENE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
19 DAVIS AVE, NEPTUNE, NJ 07753-4488
(732) 633-4100
Mailing address
19 DAVIS AVE FL 2, NEPTUNE, NJ 07753-4488
(732) 633-4100
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00750600
NJ
363LA2200X
Adult Health Nurse Practitioner
307547
NY
Other
Enumeration date
11/11/2015
Last updated
09/22/2025
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