| Doctor Name: | TRACY DAVIS |
| NPI Number: | 1548662497 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSN, RN, AGACNP-BC |
| License Number: | 706101 |
| Business Practice Address: | 901 Us Highway 83 N Childress, TX - 792012320 |
| Business Phone Number: | 9409376371 |
| Business Fax Number: | |
| Mailing Address: | Po Box 1030, CHILDRESS |
| State: | TX |
| Postal Code: | 792011030 |
| Phone Number: | 9409376371 |
| Fax Number: | |
| NPI Enumeration Date: | 09/23/2014 |
| NPI Last Update Date: | 01/20/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2100X |
| License Number: | 706101 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Acute Care |
| Taxonomy Definition: | |