Doctor Name: | CLAUDETTE M DAVIS |
NPI Number: | 1912941006 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP |
License Number: | 1-089326 |
Business Practice Address: | 34885 Us Hwy 43 Hackleburg, AL - 35564 |
Business Phone Number: | 2059353744 |
Business Fax Number: | 2059353779 |
Mailing Address: | 34885 Us Hwy 43, HACKLEBURG |
State: | AL |
Postal Code: | 35564 |
Phone Number: | 2059353744 |
Fax Number: | 2059353779 |
NPI Enumeration Date: | 06/16/2006 |
NPI Last Update Date: | 03/28/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 1-089326 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |