MISS NINA SIMONE DAVIS APRN PMHP-BC NPI 1265147003

NPI Information

  • NPI: 1265147003
  • Provider Name: MISS NINA SIMONE DAVIS, APRN PMHP-BC
  • Classification: Nurse Practitioner - 363L00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4250 CLINTON RD STE 102
    FAYETTEVILLE, NC
    ZIP 28312
  • Phone: (910) 920-1050

Map and Directions

Get Directions

NPI Details

MISS Nina Simone Davis, APRN PMHP-BC is a nurse practitioner in Fayetteville, NC with 4 years of experience. The provider is (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. MISS Nina Simone Davis, APRN PMHP-BC NPI is 1265147003. 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:

4250 CLINTON RD STE 102
FAYETTEVILLE, NC
ZIP 28312-517
Phone: (910) 920-1050
Fax: (910) 920-1051

The NPI 1265147003 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 1/17/2023 and was last updated on 8/19/2024.

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
1163WA0400XRegistered NurseAddiction (Substance Use Disorder)155605NORTH CAROLINANo
2163WA2000XRegistered NurseAdministrator4704206128MICHIGANNo
3163WC0200XRegistered NurseCritical Care MedicineRN1008379DISTRICT OF COLUMBIANo
4163WP0000XRegistered NursePain ManagementRN1008379DISTRICT OF COLUMBIANo
5251B00000XCase Management155605TEXASNo
6363LG0600XNurse PractitionerGerontology5018787NORTH CAROLINANo
7363LP0808XNurse PractitionerPsychiatric/Mental Health5018787NORTH CAROLINANo
8363L00000XNurse Practitioner5018787NORTH CAROLINAYes

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: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI