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Clinton Davis, APRN,PMHNP
Psychiatric/Mental Health Nurse Practitioner in Kingsport, Tennessee
NPI 1205443058

Clinton Davis is a Psychiatric/Mental Health Nurse Practitioner based in Kingsport, TN and is specialized in Psychiatric/Mental Health. Clinton Davis practices in Kingsport, TN and has the professional credentials of APRN,PMHNP. The NPI Number for Clinton Davis is 1205443058 and holds a License No. 28302 (Tennessee).

The current practice location address for Clinton Davis is 1025 Executive Park Blvd, Kingsport, TN and can be reached out via phone at 423-830-8110.

Location: 1025 Executive Park Blvd, Kingsport, TN, 37664-5453
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205443058
Provider Name
Clinton Davis
Credential
APRN,PMHNP
Provider Entity Type
Individual
Gender
Male
Address
1025 Executive Park Blvd, Kingsport, TN, 37664-5453
Phone Number
423-830-8110
Fax Number
Provider Enumeration Date
09/25/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1025 Executive Park Blvd
City
Kingsport
State
Tennessee
Zip
37660-4620
Phone Number
423-830-8110
Fax Number
person
Provider Business Mailing Address Details
Address
1025 Executive Park Blvd
City
Kingsport
State
Tennessee
Zip
37660-4620
Phone Number
423-830-8110
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
28302 (Tennessee)
Definition
Definition to come...
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