person
Tina Marie Davis, FNP-BC
Family Nurse Practitioner in Tyler, Texas
NPI 1568962611

Tina Marie Davis is a Family Nurse Practitioner based in Atlanta, TX and is specialized in Family. Tina Marie Davis practices in Tyler, TX and has the professional credentials of FNP-BC. The NPI Number for Tina Marie Davis is 1568962611 and holds a License No. 1.032023 (Texas).

The current practice location address for Tina Marie Davis is 2115 S Broadway Ave, Tyler, TX and can be reached out via phone at 520-200-6707.

Location: 2115 S Broadway Ave, Tyler, TX, 30374-6079
person
Provider Profile Details
NPI Number
1568962611
Provider Name
Tina Marie Davis
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
2115 S Broadway Ave, Tyler, TX, 30374-6079
Phone Number
520-200-6707
Fax Number
Provider Enumeration Date
02/15/2018
Last Update Date
10/19/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3015996 01 KY KENTUCKY APRN
APN.0993722 01 CO AANC
1032023 01 TX TEXAS STATE LICENSE NUMBER
2018032915 01 MO MO STATE LICENSE NUMBER
0024181094 01 VA VIRGINIA STATE LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
2115 S Broadway Ave
City
State
Zip
75701-4214
Phone Number
520-200-6707
Fax Number
person
Provider Business Mailing Address Details
Address
2115 S Broadway Ave
City
State
Zip
75701-4214
Phone Number
520-200-6707
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
1.032023 (Texas)
Definition
Definition to come...
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