Healthcare Provider Details

I. General information

NPI: 1295948495
Provider Name (Legal Business Name): CLAUDIA S DAVIS A.P.R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

413 SPRING ST
CHATTANOOGA TN
37405-3848
US

IV. Provider business mailing address

31 MOUNT ZION RD
MC MINNVILLE TN
37110-6127
US

V. Phone/Fax

Practice location:
  • Phone: 423-756-2740
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License Number47699
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: