TYNISHA NICOLE DAVIS FNP-BC NPI 1760908123

NPI Information

NPI: 1760908123
Provider Name: TYNISHA NICOLE DAVIS, FNP-BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
4190 CITY AVE
PHILADELPHIA, PA
ZIP 19131
Phone: (866) 453-8800
Get Directions

Tynisha Nicole Davis, FNP-BC is a family nurse practitioner in Philadelphia, PA. Tynisha Nicole Davis, FNP-BC NPI is 1760908123. 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:

4190 CITY AVE
PHILADELPHIA, PA
ZIP 19131-626
Phone: (866) 453-8800

The NPI 1760908123 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 8/17/2017 and was last updated on 8/17/2017.

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	SP017201	PENNSYLVANIA	Yes

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: 11/14/2023

NPI Synchronization or Removal

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