MRS. TERESA YVETTE DAVIS N.P. NPI 1508193780

NPI Information

NPI: 1508193780
Provider Name: MRS. TERESA YVETTE DAVIS, N.P.
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
206 S MATSON ST
KERSHAW, SC
ZIP 29067
Phone: (803) 475-1156
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MRS. Teresa Yvette Davis, N.P. is a family nurse practitioner in Kershaw, SC with 3 years of experience. MRS. Teresa Yvette Davis, N.P. NPI is 1508193780. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

206 S MATSON ST
KERSHAW, SC
ZIP 29067-506
Phone: (803) 475-1156
Fax: (803) 475-1128

The NPI 1508193780 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/10/2009 and was last updated on 10/25/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	F0809225	NORTH CAROLINA	No
2	363LF0000X	Nurse Practitioner	Family	4170	SOUTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	AA54788862	MEDICARE PIN	SOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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