NPI 1104979822 · live from the CMS NPI Registry
Valisia Davis
Nurse Practitioner, Pediatrics in Birmingham, AL. National Provider Identifier 1104979822, active.
NPI record
| NPI | 1104979822 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 1717 6th Ave S, Birmingham, AL 35233 |
| Practice phone | 800-822-8816 |
| Enumerated | January 18, 2007 |
| Last updated | June 30, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Adult Health | 363LA2200X | 1-062777 (AL) |
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 1-062777 (AL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.