NPI 1699194522 · live from the CMS NPI Registry
Charles Seth Davis, CRNP
Nurse Practitioner, Primary Care in Citronelle, AL. National Provider Identifier 1699194522, active.
NPI record
| NPI | 1699194522 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Primary Care 363LP2300X |
| Practice location | 19250 N Mobile St, Citronelle, AL 36522 |
| Practice phone | 251-866-7454 |
| Mailing address | 251 N Bayou St, Mobile, AL 36603 |
| Enumerated | April 8, 2014 |
| Last updated | May 9, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics | 363LP0200X | 1-091410 (AL) |
| Nurse Practitioner, Primary Care primary | 363LP2300X | 1-091410 (AL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.