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General NPI Number Information
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NPI Number | 1881951994
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Entity Type | Individual
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Provider Name | MICHELLE L DAVIS NP
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Gender | Female
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Dates
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Enumeration Date | 04/13/2012
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Last Update Date | 11/12/2025
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Provider Practice Location Address
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Address Line | 401 W WASHINGTON AVE
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City | ATHENS
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State | TN
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Zip | 37303-3468
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Country | US
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Telephone | 423-745-6610
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Fax | 423-745-6360
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Provider Business Mailing Address
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Address Line | PO BOX 808
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City | KINGSTON
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State | TN
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Zip | 37763-0808
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Country | US
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Telephone | 423-442-2121
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Fax | 423-545-9556
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APN16622
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License Number State | TN
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