Frankie Lynn Davis, APRN, FNP-C

Individual provider Active NPI Family Nurse Practitioner · Syracuse,, UT

NPI 1114148459 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1114148459
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
2202404405 (UT)
Practice address
2650 West 2700 South
Syracuse,, UT 84075
Phone
(801) 773-0200
NPI assigned
May 2, 2007
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2202404405UTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Island View Residential Treatment Center Past Accepting new patients
Elevations RTC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2202404405 UT Yes

Addresses

Primary practice location

2650 West 2700 South
Syracuse,, UT 84075

Mailing address

5440 South 350 East No. 66
Ogden, UT 84405
Phone (801) 479-6778

Other identifiers

IdentifierTypeStateIssuer
998877667000MedicaidUT

Other providers in Syracuse,, UT

All providers in Syracuse,, UT · Family Nurse Practitioner in Utah

Sources for this page

Verify at the official NPI Registry.