Connie A Davis, APRN-BC
Individual provider Active NPI Family Nurse Practitioner · Stephens, AR
NPI 1366684193 · NPPES record last updated Mar 25, 2009
Key facts
- NPI
- 1366684193
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- ATP000195 (AR)
- Practice address
- 113 W Ruby Street
Stephens, AR 71764 - Phone
- (870) 786-9114
- Fax
- (870) 786-5530
- NPI assigned
- Mar 25, 2009
- 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)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ATP000195 | AR | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ATP000195 | AR | Yes |
Addresses
Primary practice location
113 W Ruby Street
Stephens, AR 71764
Mailing address
113 W Ruby Street
Stephens, AR 71764
Phone (870) 786-9114
Other providers in Stephens, AR
- Appleflats Speech Pathology Clinic
- Precious Danielle Banks
- C & D Disability
- Chucks Developemental Outreach Inc.
- D&J Early Learning&Deveopmental Center Inc.
- Jessica E. Fisher
- Ouachita County Medical Center
- Ouachita County Medical Center
- Stephens Fire & Emergency
- Stephens School District
All providers in Stephens, AR · Family Nurse Practitioner in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 25, 2009. 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.