Individual
TAMMY JEAN DAVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1077 SAINT CLAIRS CREEK RD, CHILHOWIE, VA 24319-5893
(276) 780-1192
Mailing address
1077 SAINT CLAIRS CREEK RD, CHILHOWIE, VA 24319-5893
(276) 780-1192
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
0024176649
VA
Other
Enumeration date
01/02/2019
Last updated
01/02/2019
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