Individual
CAROL DAVISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N., MSN, FNP-C
Contact information
Practice address
274 S ORANGE AVE FL 3, NEWARK, NJ 07103-2419
(973) 732-6040
Mailing address
PO BOX 829766, PHILADELPHIA, PA 19182-9766
(866) 470-6626
(413) 599-0470
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR07141500
NJ
363LF0000X
Family Nurse Practitioner
Primary
26NN07141500
NJ
Other
Enumeration date
05/21/2007
Last updated
07/23/2021
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