MEDICARE: FELICIA LEUNG DAVIS PMHNP-BC, FNP-BC

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	18618	SC
2	363L00000X	Nurse Practitioner	18618	SC
3	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	GAA-NP000546	GA
4	363LF0000X	Family Nurse Practitioner	5005365	NC

General Provider Information

NPI Number	:	1508141854
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FELICIA LEUNG DAVIS PMHNP-BC, FNP-BC

Provider Business Mailing Address
First Line	:	9820 NORTHCROSS CENTER CT STE 50
Second Line	:
City	:	HUNTERSVILLE
State	:	NC
Zip	:	28078-7357
Country	:	US
Telephone Number	:	980-585-2019
Fax Number	:	980-585-2016

Provider Business Practice Location Address
First Line	:	9820 NORTHCROSS CENTER CT STE 50
Second Line	:
City	:	HUNTERSVILLE
State	:	NC
Zip	:	28078-7357
Country	:	US
Telephone Number	:	980-585-2019
Fax Number	:	980-585-2016

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

Provider Enumeration Date	:	10/19/2011
Last Update Date	:	04/18/2024

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