Healthcare Provider Details

I. General information

NPI: 1699296467
Provider Name (Legal Business Name): VANESSA DAVIS ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/03/2017
Last Update Date: 07/28/2025
Certification Date: 07/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

605 COURTLAND BLVD
DELTONA FL
32738-8913
US

IV. Provider business mailing address

425 W COLONIAL DR STE 303
ORLANDO FL
32804-6863
US

V. Phone/Fax

Practice location:
  • Phone: 386-320-9990
  • Fax: 833-450-5408
Mailing address:
  • Phone: 321-332-6947
  • Fax: 407-286-4515

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP9294146
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: