Healthcare Provider Details

I. General information

NPI: 1912941006
Provider Name (Legal Business Name): CLAUDETTE M DAVIS CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/16/2006
Last Update Date: 04/07/2026
Certification Date: 04/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14490 COUNTY LINE RD
MUSCLE SHOALS AL
35661-4412
US

IV. Provider business mailing address

PO BOX 2587
MUSCLE SHOALS AL
35662-2587
US

V. Phone/Fax

Practice location:
  • Phone: 256-661-2138
  • Fax: 256-661-2146
Mailing address:
  • Phone: 256-383-4473
  • Fax: 256-320-7280

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1-089326
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: