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NPI Code Detail

MEDICARE: WENDY N DAVISON CPNP

MEDICARE: WENDY N DAVISON CPNP
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
1363LP0200XPediatric Nurse PractitionerRN140026GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1669631800
Entity Type Code : Individual
Provider Name (Legal Business Name) : WENDY N DAVISON CPNP
Provider Business Mailing Address
First Line : 677 CHURCH ST NE
Second Line :
City : MARIETTA
State : GA
Zip : 30060-1101
Country : US
Telephone Number : 470-610-0133
Fax Number : 470-986-7220
Provider Business Practice Location Address
First Line : 677 CHURCH ST NE
Second Line :
City : MARIETTA
State : GA
Zip : 30060-1101
Country : US
Telephone Number : 470-610-0133
Fax Number : 470-986-7220
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2008
Last Update Date : 04/23/2026

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