Deborah Jean Davis
Individual provider Active NPI Registered Nurse · Round Lake, NY
NPI 1558077537 · NPPES record last updated Jan 24, 2023
Key facts
- NPI
- 1558077537
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 442690 (NY)
- Practice address
- Deborah Davis 9a Whitfield Ave .
216
Round Lake, NY 12151-1206 - Phone
- (518) 881-3310
- NPI assigned
- Jan 24, 2023
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 442690 | NY | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 442690 | NY | Yes |
Addresses
Primary practice location
Deborah Davis 9a Whitfield Ave .
216
Round Lake, NY 12151-1206
Mailing address
Deborah Davis 9a Whitfield Avenue
Round Lake, NY 12151
Phone (518) 812-7649
Other providers in Round Lake, NY
- Samuel Kent Axten
- Jill Barker
- Sheila Ann Brazie
- Julia Corbally-Carson
- Cecily Beane Cullinan
- Penny J Deasy
- Jenna Jamal Fakhoury
- Tisha Graham
- Jenna Fakhoury Corp
- Sandra Patricia Kahlon
All providers in Round Lake, NY · Registered Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 24, 2023. 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.