Laurel Paige Davis, NP
Individual provider Active NPI Nurse Practitioner · Daniel Island, SC
NPI 1124077524 · NPPES record last updated May 28, 2020
Key facts
- NPI
- 1124077524
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 23081 (SC)
- Practice address
- 1026 Barfield St
Daniel Island, SC 29492-7583 - Phone
- (843) 544-5710
- NPI assigned
- May 10, 2006
- Sex
- Female
- Sole proprietor
- Yes
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN121156 | GA | MD | Pediatric Surgery Physician |
| 23081 | SC | MD | Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Surgery Physician | 2086S0120X | RN121156 | GA | |
| Nurse Practitioner | 363L00000X | 23081 | SC | Yes |
Addresses
Primary practice location
1026 Barfield St
Daniel Island, SC 29492-7583
Mailing address
1026 Barfield St
Daniel Island, SC 29492-7583
Phone (843) 544-5710
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 23081 | Other | SC | NO INSURANCE TAKEN |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | thelookbylaurel@gmail.com |
Other providers in Daniel Island, SC
- Daniel Island Family Medicine LLC
- Daniel Island Hearing Center LLC
- Daniel Island Pharmacy, LLC
- Daniel Island Physical Therapy LLC
- Lizzette Danner
- Lucy Green Davis
- Kelli Dawkins
- Rebecca Dearie
- Deford Rehab Consulting LLC
- Delta of Daniel Island LLC
All providers in Daniel Island, SC · Nurse Practitioner in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 28, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.