Davis, Ryan

Davis, Ryan is an individual health care provider with primary practice located at 1975 Town Center Blvd , Knoxville TN 37922-6638. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as his primary health care specialty. Davis, Ryan can be contacted via phone (865) 546-3998.

Contact Information

Primary practice address
1975 Town Center Blvd Knoxville TN 37922-6638
Phone: (865) 546-3998
Fax: (865) 546-1123
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X AC002679 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 22306 Tennessee

Profile Details

NPI number 1134668379
LBN Legal business name Davis, Ryan
Credentials DNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2017
Last updated Oct 5th, 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 1134668379 NPPES
Tennessee MEDICAID Q018806

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