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NPI Code Detail

MEDICARE: MARCIA JOYCE DAVIS PMHNP

MEDICARE:   MARCIA JOYCE DAVIS  PMHNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse PractitionerSP029975PA

General Provider Information

NPI Number : 1760235964
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARCIA JOYCE DAVIS PMHNP
Provider Business Mailing Address
First Line : 6202 HOMER ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19144-1621
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6202 HOMER ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19144-1621
Country : US
Telephone Number : 484-506-7715
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2024
Last Update Date : 06/02/2025

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Directions to “ MARCIA JOYCE DAVIS PMHNP” Practice Location

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