Tracie L Davis

NPI #1639948946 in Madison, Indiana

Provider Information

NPI Number
1639948946
Entity Type
Individual
Name
Tracie L Davis
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
Dec 28, 2023
Last Updated
Nov 6, 2025

Practice Location

Address
1373 E STATE ROAD 62
State
Indiana
ZIP Code
47250-7328
Phone
(812) 801-0152

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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