Individual
MICHELLE L DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
401 W WASHINGTON AVE, ATHENS, TN 37303-3468
(423) 745-6610
(423) 745-6360
Mailing address
PO BOX 808, KINGSTON, TN 37763-0808
(423) 442-2121
(423) 545-9556
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN16622
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q000332
—
TN
Enumeration date
04/13/2012
Last updated
11/12/2025
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