Healthcare Provider Details

I. General information

NPI: 1629445119
Provider Name (Legal Business Name): APRIL MICHELLE DAVIDSON ACNS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2015
Last Update Date: 08/31/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 TYSON AVE
PARIS TN
38242-4544
US

IV. Provider business mailing address

197 D AND C SUBDIVISION RD
DRESDEN TN
38225-2401
US

V. Phone/Fax

Practice location:
  • Phone: 731-642-1220
  • Fax:
Mailing address:
  • Phone: 731-431-6993
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SA2200X
TaxonomyAdult Health Clinical Nurse Specialist
License Number20374
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: