Emily Mowry Davis, NP

Individual provider Active NPI Family Nurse Practitioner · Harahan, LA

NPI 1033416896 · NPPES record last updated Mar 22, 2012

Key facts

NPI
1033416896
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
AP06357 (LA)
Practice address
5307 Toler St
Harahan, LA 70123-5220
Phone
(504) 570-1471
Fax
(504) 570-1472
NPI assigned
Feb 14, 2011
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP06357LAMDFamily Nurse Practitioner
PA021405LAMDFamily Nurse Practitioner
0024168969VAMDFamily Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X PA021405 LA
Family Nurse Practitioner 363LF0000X 0024168969 VA
Family Nurse Practitioner 363LF0000X AP06357 LA Yes

Addresses

Primary practice location

5307 Toler St
Harahan, LA 70123-5220

Mailing address

5307 Toler St
Harahan, LA 70123-5220
Phone (504) 570-1471

Other providers in Harahan, LA

All providers in Harahan, LA · Family Nurse Practitioner in Louisiana

Sources for this page

Verify at the official NPI Registry.