Individual
DARRYL JEROME DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
3516 NORTH BLVD STE B, ALEXANDRIA, LA 71301-3674
(318) 239-4860
(805) 295-4715
Mailing address
PO BOX 4506, SHREVEPORT, LA 71134-0506
(318) 239-4860
(805) 295-4715
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
228926
LA
Other
Enumeration date
04/16/2015
Last updated
10/23/2024
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