Individual provider · Type 1 NPI
Lakeisha Davis, CRNP, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Philadelphia, PA
NPI number
1629843214
Active
Practice location
501 S 54th St
Philadelphia, PA 19143-1900
Mailing address
1335 Weaver St
Philadelphia, PA 19150-2230
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | SP028672 (PA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1629843214
Lakeisha Davis, CRNP, PMHNP-BC's National Provider Identifier is 1629843214, issued on Nov 24, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Philadelphia, PA. The record was last updated on Nov 24, 2023.