Healthcare Provider Details

I. General information

NPI: 1437006970
Provider Name (Legal Business Name): ANDREA DAVIS FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/13/2026
Last Update Date: 04/15/2026
Certification Date: 04/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2151 N CHURCH ST
BURLINGTON NC
27217-3003
US

IV. Provider business mailing address

7212 GREAT LAUREL DR
RALEIGH NC
27616-3330
US

V. Phone/Fax

Practice location:
  • Phone: 336-329-0959
  • Fax:
Mailing address:
  • Phone: 410-924-0868
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number386327
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: