| Doctor Name: | MISS PATRICE MARIE DAVIS |
| NPI Number: | 1023265238 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 26NR11117900 |
| Business Practice Address: | 424 Main St East Orange, NJ - 070183212 |
| Business Phone Number: | 9736748067 |
| Business Fax Number: | |
| Mailing Address: | 424 Main St, EAST ORANGE |
| State: | NJ |
| Postal Code: | 070183212 |
| Phone Number: | 9736748067 |
| Fax Number: | |
| NPI Enumeration Date: | 08/20/2008 |
| NPI Last Update Date: | 08/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0808X |
| License Number: | 26NR11117900 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NJ |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |