Individual
MRS. GINA MICHELLE DAVIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
15395 NW 124TH TER, PLATTE CITY, MO 64079-4512
(816) 286-0595
Mailing address
15395 NW 124TH TER, PLATTE CITY, MO 64079-4512
(816) 286-0595
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2005015103
MO
363LF0000X
Family Nurse Practitioner
0000000000
MO
Other
Enumeration date
01/02/2024
Last updated
01/02/2024
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