Individual provider · Type 1 NPI

Mickey Davis, REGISTERED NURSE

Case Management Registered Nurse · Fort Stewart, GA

NPI number 1285035691 Active

Practice location

1061 Harmon Ave
Fort Stewart, GA 31314-5641

Fax (571) 802-0546

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XRN191070 (GA)
Case Management Registered Nurse Primary 163WC0400XRN191070 (GA)

Case Management Registered Nurse: Definition to come...

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About NPI 1285035691

Mickey Davis, REGISTERED NURSE's National Provider Identifier is 1285035691, issued on Sep 5, 2014. The primary taxonomy on file is Case Management Registered Nurse (163WC0400X), and the practice location is in Fort Stewart, GA. The record was last updated on Feb 25, 2025.