Davis, Deja

Davis, Deja is an individual health care provider with primary practice located at 150 Burnetts Way Ste 320 , Suffolk VA 23434-8288. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Davis, Deja can be contacted via phone (757) 934-1900.

Contact Information

Primary practice address
150 Burnetts Way Ste 320 Suffolk VA 23434-8288
Phone: (757) 934-1900
Fax: (757) 925-6719
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024178059 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 0024178059 Virginia

Profile Details

NPI number 1205465986
LBN Legal business name Davis, Deja
Credentials DNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2020
Last updated Jul 21st, 2022 - 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 1205465986 NPPES
Virginia MEDICAID 0024178059

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