Pirtle, Travonda Davis

Pirtle, Travonda Davis is an individual health care provider with primary practice located at 5651 Frist Blvd Ste 712 , Hermitage TN 37076-2061. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Pirtle, Travonda Davis can be contacted via phone (615) 872-9966.

Contact Information

Primary practice address
5651 Frist Blvd Ste 712 Hermitage TN 37076-2061
Phone: (615) 872-9966
Fax: (615) 872-9967
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0010-02350 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 2824 Tennessee

Profile Details

NPI number 1861704538
LBN Legal business name Pirtle, Travonda Davis
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2010
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 1861704538 NPPES
North Carolina MEDICAID 8101401

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