Individual provider · Type 1 NPI

Blaise Davis, FNP-C, FNP-BC

Family Nurse Practitioner · Tyler, TX

NPI number 1114671500 Active

Practice location

1910 Roseland Blvd
Tyler, TX 75701-4246

Fax (903) 533-0441

Other practice locations

  • 1909 Rickety Ln, Tyler, TX 75703-1702 · (903) 596-0606

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner 363LP0808X1069902 (TX)
Family Nurse Practitioner Primary 363LF0000X1069902 (TX)

Family Nurse Practitioner: Definition to come...

18 other providers at this address

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About NPI 1114671500

Blaise Davis, FNP-C, FNP-BC's National Provider Identifier is 1114671500, issued on Feb 5, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Tyler, TX. The record was last updated on Apr 14, 2023.