MEDICARE: MS. AMBRIELLE 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	AP144788	TX

General Provider Information

NPI Number	:	1871143057
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. AMBRIELLE DAVIS MSN,APRN,FNP-C

Provider Business Mailing Address
First Line	:	7200 CAMBRIDGE ST.
Second Line	:	MS: BCM902
City	:	HOUSTON
State	:	TX
Zip	:	77030
Country	:	US
Telephone Number	:	713-798-3077
Fax Number	:

Provider Business Practice Location Address
First Line	:	4430 HARRISBURG BLVD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77011
Country	:	US
Telephone Number	:	713-798-6333
Fax Number	:

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

Provider Enumeration Date	:	09/18/2019
Last Update Date	:	05/06/2026

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