Davis, Alice V

Davis, Alice V is an individual health care provider with primary practice located at 100 E Normal Ave , Kirksville MO 63501-4200. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Davis, Alice V can be contacted via phone (660) 785-4182.

Contact Information

Primary practice address
100 E Normal Ave Kirksville MO 63501-4200
Phone: (660) 785-4182
Fax: (660) 785-4011
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 136720 Missouri

Profile Details

NPI number 1598741621
LBN Legal business name Davis, Alice V
Credentials MSN, FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2005
Last updated Mar 2nd, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598741621 NPPES
Missouri MEDICAID 425756319

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