Davis, Mckenzie Brooke

Davis, Mckenzie Brooke is an individual health care provider with primary practice located at 1120 Perimeter Park Dr , Cookeville TN 38501-0922. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Davis, Mckenzie Brooke can be contacted via phone (931) 528-0002.

Contact Information

Primary practice address
1120 Perimeter Park Dr Cookeville TN 38501-0922
Fax: (931) 528-1515
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA0000004507 Tennessee

Profile Details

NPI number 1912597675
LBN Legal business name Davis, Mckenzie Brooke
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2021
Last updated Aug 23rd, 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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