MRS. Diane L Davis, NURSE PRACTITIONER
NPI #1750387890 in Iuka, Mississippi
Provider Information
- NPI Number
- 1750387890
- Entity Type
- Individual
- Name
- MRS. Diane L Davis, NURSE PRACTITIONER
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Nurse Practitioner
- Credential
- NURSE PRACTITIONER
- Enumeration Date
- Jun 23, 2005
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1507 W QUITMAN ST
- City
- Iuka
- State
- Mississippi
- ZIP Code
- 38852-1132
- Phone
- (662) 423-1000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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