Healthcare Provider Details

I. General information

NPI: 1427391820
Provider Name (Legal Business Name): KAREN JEANINE DAVIS FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KAREN J BATTIS RN

II. Dates (important events)

Enumeration Date: 04/03/2013
Last Update Date: 06/10/2024
Certification Date: 06/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5603 E 2ND ST
LONG BEACH CA
90803-3905
US

IV. Provider business mailing address

269 TIVOLI DR
LONG BEACH CA
90803-3645
US

V. Phone/Fax

Practice location:
  • Phone: 562-243-6548
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number583713
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number23618
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: