Leslie J Davis in Walkertown - Nurse Practitioner

Leslie J Davis - NPI 1104041755

Leslie J Davis is a Nurse Practitioner in Walkertown, North Carolina. Leslie J Davis practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Leslie J Davis is 1104041755. The last update date is 2021-12-23.

Leslie J Davis's current location address is 3431 Walkertown Commons Dr, Walkertown, North Carolina. You can contact this provider via phone number 3365644101 and fax number 3365952035. The mailing address for Leslie J Davis is 3431 Walkertown Commons Dr, Walkertown, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Leslie J Davis
Address 3431 Walkertown Commons Dr, Walkertown, North Carolina
Phone Number 3365644101
Fax Number 3365952035
Sole Proprietor N
Credentials NP

NPI Number Detail

NPI Number 1104041755
Provider Enumeration Date 2007-04-16
Last Updated Date 2021-12-23

Provider Mailing Address Detail

Address 3431 Walkertown Commons Dr
City Walkertown
State North Carolina (NC)
Post Code 270519152
Phone Number 3365644101
Fax Number 3365952035

Provider's Primary Taxonomy Detail

Speciality Nurse Practitioner
Taxonomy 363L00000X
Licence No 5004872
Definition:
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
7004567 NC --

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FAQs about Leslie J Davis

What is the unique 10-digit identifier code assigned to Leslie J Davis by the Centers for Medicare & Medicaid Services?

The Leslie J Davis has been issued the NPI (National Provider Identifier) 1104041755 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Leslie J Davis is located?

The Leslie J Davis is situated at the following address: 3431 Walkertown Commons Dr, Walkertown, NC, 270519152.

What is Leslie J Davis's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Leslie J Davis is Nurse Practitioner, and the taxonomy code that categorizes this field of expertise is 363L00000X.

On what date did the Leslie J Davis receive its 1104041755 assignment from the Centers for Medicare & Medicaid Services?

The Leslie J Davis was assigned its 1104041755 by the Centers for Medicare & Medicaid Services on 2007-04-16.

As of what date was the information pertaining to Leslie J Davis, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Leslie J Davis, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-12-23.

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