Individual
LESLEY DANIELLE DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1638 OWEN DR, FAYETTEVILLE, NC 28304-3424
(910) 615-1889
Mailing address
1638 OWEN DR, FAYETTEVILLE, NC 28304-3424
(937) 245-9447
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5011368
NC
363LA2100X
Acute Care Nurse Practitioner
Primary
5011368
NC
Other
Enumeration date
02/14/2019
Last updated
06/28/2023
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