Davis, Michelle Lynn

Davis, Michelle Lynn is an individual health care provider with primary practice located at 10475 Reading Road Ste 117, Cincinnati OH 45241-2500. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Davis, Michelle Lynn can be contacted via phone (513) 559-1222.

Contact Information

Primary practice address
10475 Reading Road Ste 117 Cincinnati OH 45241-2500
Phone: (513) 559-1222
Fax: (513) 559-1235
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X CREDENTIAL LICENSE Ohio
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 3010585 Kentucky

Profile Details

NPI number 1407239767
LBN Legal business name Davis, Michelle Lynn
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2015
Last updated Jul 21st, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407239767 NPPES
Kentucky MEDICAID 7100439080
Kentucky Other K208050

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