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SUSAN CAMILLE DAVIDSON APRN NP-C NPI 1598195414


NPI Information

NPI: 1598195414
Provider Name: SUSAN CAMILLE DAVIDSON, APRN, NP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
5545 LITTLE DEBBIE PKWY
OOLTEWAH, TN
ZIP 37363
Phone: (423) 238-5020
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Susan Camille Davidson, APRN, NP-C is a family nurse practitioner in Ooltewah, TN with 11 years of experience. Susan Camille Davidson, APRN, NP-C NPI is 1598195414. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduation Year:2013

The provider's business location address is:

5545 LITTLE DEBBIE PKWY
OOLTEWAH, TN
ZIP 37363-357
Phone: (423) 238-5020
Fax: (423) 238-5021

The NPI 1598195414 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 11/13/2013 and was last updated on 11/13/2013.


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
1363LF0000XNurse PractitionerFamilyAPN0000018069TENNESSEEYes

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

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.