Davis, Nicole

Davis, Nicole is an individual health care provider with primary practice located at 2864 Moody Ave , Orange Park FL 32073-6423. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Davis, Nicole can be contacted via phone (352) 478-8273.

Contact Information

Primary practice address
2864 Moody Ave Orange Park FL 32073-6423
Phone: (352) 478-8273
Fax: (352) 478-8088
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1003352584
LBN Legal business name Davis, Nicole
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2017
Last updated Jan 9th, 2017 - about 9 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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