Raven Davis

NPI 1043922214 · on the registry since 2022

Practice

Address: 2434 S Eason Blvd
Tupelo, MS 38804
Phone: (662) 640-4595
Organisation at this address: Northeast Mental Health-Mental Retardation Commission
Northeast Mental Health/Mental Retardation Commission
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 642

Registry record

Primary taxonomy: 101YM0800X
101YM0800X
Licence states on file: MS
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2022-12-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi