Individual
PAMELA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
350 CROSSGATES BLVD, BRANDON, MS 39042-2601
(601) 825-2811
Mailing address
413 PARKER DR, CLINTON, MS 39056-4519
(601) 668-4354
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R856500
MS
163WD1100X
Peritoneal Dialysis Registered Nurse
R856500
MS
163WH0200X
Home Health Registered Nurse
R856500
MS
163WH0500X
Hemodialysis Registered Nurse
R856500
MS
163WN0300X
Nephrology Registered Nurse
R856500
MS
251E00000X
Home Health Agency
R856500
MS
251F00000X
Home Infusion Agency
R856500
MS
251J00000X
Nursing Care Agency
R856500
MS
Other
Enumeration date
08/09/2022
Last updated
06/13/2023
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