Davis, Heather T.

Davis, Heather T. is an individual health care provider with primary practice located at 121 E Main St , Providence KY 42450-1268. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Davis, Heather T. can be contacted via phone (270) 667-2023.

Contact Information

Primary practice address
121 E Main St Providence KY 42450-1268
Phone: (270) 667-2023
Fax: (270) 667-7518
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 3005719 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3005719 Kentucky

Profile Details

NPI number 1851549711
LBN Legal business name Davis, Heather T.
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 4th, 2008
Last updated Mar 7th, 2023 - about last year

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 1851549711 NPPES
Kentucky MEDICAID PENDING

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