MEDICARE: DARRYL JEROME DAVIS NP

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	228926	LA

General Provider Information

NPI Number	:	1891182853
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DARRYL JEROME DAVIS NP

Provider Business Mailing Address
First Line	:	PO BOX 4506
Second Line	:
City	:	SHREVEPORT
State	:	LA
Zip	:	71134-0506
Country	:	US
Telephone Number	:	318-239-4860
Fax Number	:	805-295-4715

Provider Business Practice Location Address
First Line	:	3516 NORTH BLVD STE B
Second Line	:
City	:	ALEXANDRIA
State	:	LA
Zip	:	71301-3674
Country	:	US
Telephone Number	:	318-239-4860
Fax Number	:	805-295-4715

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

Provider Enumeration Date	:	04/16/2015
Last Update Date	:	10/23/2024

Similar Medicare Providers

1932062437 — LABORATORY CORPORATION OF AMERICA HOLDINGS
Practice Location Address:

3516 NORTH BLVD STE B
ALEXANDRIA, LA
71301-3674

Practice Phone: 888-888-8888
Practice Fax:

1396240511 — FIORELLA SONIA SOTOMAYOR VILLANUEVA MD
Practice Location Address:

3516 NORTH BLVD STE B
ALEXANDRIA, LA
71301-3674

Practice Phone: 318-239-4860
Practice Fax: 805-295-4715

1992436885 — DR. BHUVANA KRISHNA TANTRY MD
Practice Location Address:

211 4TH ST
ALEXANDRIA, LA
71301-8421

Practice Phone: 908-416-0389
Practice Fax:

1154656536 — ANGELICA LOSOYA
Practice Location Address:

2006 GUS KAPLAN DR
ALEXANDRIA, LA
71301-3376

Practice Phone: 318-487-5020
Practice Fax:

1285637314 — DR. BASSAM ABI-RACHED M.D.
Practice Location Address:

605B MEDICAL CENTER DR
ALEXANDRIA, LA
71301-8127

Practice Phone: 318-442-2232
Practice Fax: 318-442-2192

1124021381 — RICKY DALE HENDRIX M.D.
Practice Location Address:

201 4TH ST STE 5A
ALEXANDRIA, LA
71301-8421

Practice Phone: 318-483-1961
Practice Fax: 318-483-1964

Directions to “ DARRYL JEROME DAVIS NP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.