Individual
LISA M DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP-BC
Contact information
Practice address
1600 ROCKLAND RD, WILMINGTON, DE 19803
(302) 651-4200
(302) 651-4945
Mailing address
PO BOX 191, ROCKLAND, DE 19732-0191
(302) 651-4200
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
L1-0033857
DE
363LN0005X
Critical Care Neonatal Nurse Practitioner
SP012019
PA
Other
Enumeration date
05/09/2012
Last updated
10/09/2019
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