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NPI Code Detail

MEDICARE: LEIGHANN DAVIS WOMENS HEALTH & WELLNESS CENTER PLLC

MEDICARE: LEIGHANN DAVIS WOMENS HEALTH & WELLNESS CENTER PLLC
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
1363LF0000XFamily Nurse Practitioner

General Provider Information

NPI Number : 1710723622
Entity Type Code : Organization
Provider Name (Legal Business Name) : LEIGHANN DAVIS WOMENS HEALTH & WELLNESS CENTER PLLC
Provider Business Mailing Address
First Line : 63 OFFICE PARK DR
Second Line :
City : ROANOKE RAPIDS
State : NC
Zip : 27870-4940
Country : US
Telephone Number : 252-678-3702
Fax Number :
Provider Business Practice Location Address
First Line : 63 OFFICE PARK DR
Second Line :
City : ROANOKE RAPIDS
State : NC
Zip : 27870-4940
Country : US
Telephone Number : 252-535-4343
Fax Number :
Authorized Official
Title or Position : OWNER
Name : LEIGHANN DAVIS
Credential : NP
Telephone Number : 252-678-3702
Provider Enumeration Date : 07/01/2024
Last Update Date : 07/01/2024

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