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Tynisha Nicole Davis, FNP-BC
Family Nurse Practitioner in Philadelphia, Pennsylvania
NPI 1760908123

Tynisha Nicole Davis is a Family Nurse Practitioner based in Havertown, PA and is specialized in Family. Tynisha Nicole Davis practices in Philadelphia, PA and has the professional credentials of FNP-BC. The NPI Number for Tynisha Nicole Davis is 1760908123 and holds a License No. SP017201 (Pennsylvania).

The current practice location address for Tynisha Nicole Davis is 4190 City Ave, Philadelphia, PA and can be reached out via phone at 866-453-8800.

Location: 4190 City Ave, Philadelphia, PA, 19083-5203
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760908123
Provider Name
Tynisha Nicole Davis
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
4190 City Ave, Philadelphia, PA, 19083-5203
Phone Number
866-453-8800
Fax Number
Provider Enumeration Date
08/17/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4190 City Ave
City
Philadelphia
State
Pennsylvania
Zip
19131-1626
Phone Number
866-453-8800
Fax Number
person
Provider Business Mailing Address Details
Address
4190 City Ave
City
Philadelphia
State
Pennsylvania
Zip
19131-1626
Phone Number
866-453-8800
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
SP017201 (Pennsylvania)
Definition
Definition to come...
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