MEDICARE: DENISE BOYD DAVIS MSN, APRN, 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	4054232	KY

General Provider Information

NPI Number	:	1811841653
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DENISE BOYD DAVIS MSN, APRN, FNP-C

Provider Business Mailing Address
First Line	:	62 LEFT FORK SANSOM FRK
Second Line	:
City	:	DANA
State	:	KY
Zip	:	41615-8004
Country	:	US
Telephone Number	:	606-213-4524
Fax Number	:

Provider Business Practice Location Address
First Line	:	911 BYPASS RD
Second Line	:
City	:	PIKEVILLE
State	:	KY
Zip	:	41501-1602
Country	:	US
Telephone Number	:	606-213-4524
Fax Number	:

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

Provider Enumeration Date	:	02/26/2026
Last Update Date	:	03/24/2026

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