location
search-icon
person
Larissa Davis
Family Nurse Practitioner in Douglas, Georgia
NPI 1063832731

Larissa Davis is a Family Nurse Practitioner based in Douglas, GA and is specialized in Family. Larissa Davis practices in Douglas, GA. The NPI Number for Larissa Davis is 1063832731 and holds a License No. RN197160 (Georgia).

The current practice location address for Larissa Davis is 200 Doctors Dr, Douglas, GA and can be reached out via phone at 912-384-9460 and via fax at 912-393-1239.

Location: 200 Doctors Dr, Douglas, GA, 31534-1902
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063832731
Provider Name
Larissa Davis
Credential
Provider Entity Type
Individual
Gender
Female
Address
200 Doctors Dr, Douglas, GA, 31534-1902
Phone Number
912-384-9460
Fax Number
912-393-1239
Provider Enumeration Date
04/22/2014
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
003145835A 05 GA
RN197160 01 GA MEDICAL LICENSE
institution
Provider Business Practice Location Address Details
Address
200 Doctors Dr
City
Douglas
State
Georgia
Zip
31533-2201
Phone Number
912-384-9460
Fax Number
912-393-1239
person
Provider Business Mailing Address Details
Address
200 Doctors Dr
City
Douglas
State
Georgia
Zip
31533-2201
Phone Number
912-384-9460
Fax Number
912-393-1239
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
RN197160 (Georgia)
Definition
Definition to come...
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.