MRS. Dallas Jordan Davis Provence, NP is a dermatopathology dermatology in Memphis, TN with 4 years of experience. The provider is a dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes. MRS. Dallas Jordan Davis Provence, NP NPI is 1619556230. 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:
6254 POPLAR AVE
MEMPHIS, TN
ZIP 38119-713
Phone: (901) 624-3333
The NPI 1619556230 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 4/2/2021 and was last updated on 4/2/2021.