Individual
CASEY LYNN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
208 SUNSET DR STE 340, JOHNSON CITY, TN 37604-2521
(423) 282-0062
Mailing address
5023 STUFFEL RD, MORRISTOWN, TN 37814-6443
(423) 748-5347
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0000024487
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
APN0000024487
—
TN
Enumeration date
09/04/2018
Last updated
02/14/2025
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