Davis, Angela C

Davis, Angela C is an individual health care provider with primary practice located at 1018 Highway 321 N , Lenoir City TN 37771-6683. 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, Angela C can be contacted via phone (865) 986-4450.

Contact Information

Primary practice address
1018 Highway 321 N Lenoir City TN 37771-6683
Phone: (865) 986-4450
Fax: (833) 908-2124
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 17755 Tennessee

Profile Details

NPI number 1245678598
LBN Legal business name Davis, Angela C
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2013
Last updated Jun 26th, 2023 - about 2 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 1245678598 NPPES
Tennessee MEDICAID 1531991

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