Individual
MRS. TONGULA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-AC
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
15037
TN
363LP0200X
Pediatric Nurse Practitioner
Primary
R867724
MS
363LP0222X
Critical Care Pediatric Nurse Practitioner
235270
AR
Other
Enumeration date
07/24/2010
Last updated
12/29/2025
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