Search › Louisiana › 171M00000X
Nicole Davis
NPI 1538510151 · on the registry since 2016 · sole proprietor
Practice
- Address
- 4012 Carter St
Vidalia, LA 71373 - Phone
- (601) 597-6058
- Clinicians at this address
- 20
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Also registered as
- 101YM0800X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-06-01
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 Louisiana