Healthcare Provider Details

I. General information

NPI: 1861801870
Provider Name (Legal Business Name): ANNA WILLIAMS DAVIS N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2014
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2001 MOSS ST STE 1200
LAFAYETTE LA
70501-2155
US

IV. Provider business mailing address

PO BOX 740012
ATLANTA GA
30374-0012
US

V. Phone/Fax

Practice location:
  • Phone: 337-761-0211
  • Fax: 337-227-6272
Mailing address:
  • Phone: 773-352-1515
  • Fax: 312-929-0373

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP07186
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: