Davis, Deborah Lynn

Davis, Deborah Lynn is an individual health care provider with primary practice located at 3554 1St Ave N , St Petersburg FL 33713-8402. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Davis, Deborah Lynn can be contacted via phone (727) 321-4846.

Contact Information

Primary practice address
3554 1St Ave N St Petersburg FL 33713-8402
Phone: (727) 321-4846
Fax: (727) 321-3811
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X ARNP9189441 Florida

Profile Details

NPI number 1912176751
LBN Legal business name Davis, Deborah Lynn
Credentials ARNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 26th, 2008
Last updated Dec 23rd, 2016 - about 9 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 1912176751 NPPES
Florida MEDICAID 015027500

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