MEDICARE: AUBREE JEAN DAVIS FNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	R874779	MS

General Provider Information

NPI Number	:	1033592985
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AUBREE JEAN DAVIS FNP-C

Provider Business Mailing Address
First Line	:	303 W FRANKLIN ST
Second Line	:
City	:	CARTHAGE
State	:	MS
Zip	:	39051-3703
Country	:	US
Telephone Number	:	769-267-0012
Fax Number	:

Provider Business Practice Location Address
First Line	:	303 W FRANKLIN ST
Second Line	:
City	:	CARTHAGE
State	:	MS
Zip	:	39051-3703
Country	:	US
Telephone Number	:	769-267-0012
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/09/2015
Last Update Date	:	11/05/2025

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