Davis, Stephanie Elaine

Davis, Stephanie Elaine is an individual health care provider with primary practice located at 7500 Park Blvd N , Pinellas Park FL 33781-3714. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Davis, Stephanie Elaine can be contacted via phone (727) 544-5437.

Contact Information

Primary practice address
7500 Park Blvd N Pinellas Park FL 33781-3714
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X APRN11001669 Florida

Profile Details

NPI number 1144853557
LBN Legal business name Davis, Stephanie Elaine
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2020
Last updated Aug 12th, 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 1144853557 NPPES
Florida MEDICAID 105675300

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