Individual provider · Type 1 NPI
Tynisha Nicole Davis, FNP-BC
Family Nurse Practitioner · Philadelphia, PA
NPI number
1760908123
Active
Practice location
4190 City Ave
Philadelphia, PA 19131-1626
Mailing address
1130 Myrtlewood Ave
Havertown, PA 19083-5203
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R270405 (MD) |
| Family Nurse Practitioner | 363LF0000X | NP500021798 (DC) |
| Family Nurse Practitioner Primary | 363LF0000X | SP017201 (PA) |
| Family Nurse Practitioner | 363LF0000X | 95022950 (CA) |
| Family Nurse Practitioner | 363LF0000X | 0024182325 (VA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1760908123
Tynisha Nicole Davis, FNP-BC's National Provider Identifier is 1760908123, issued on Aug 17, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Philadelphia, PA. The record was last updated on Jun 29, 2026.