Individual provider · Type 1 NPI

Marly Jill Davis, NP

Nurse Practitioner · Wiggins, MS

NPI number 1801568639 Active

Practice location

1440 Central Ave E
Wiggins, MS 39577-9602

Fax (601) 928-6731

Mailing address

PO Box 1810
Gulfport, MS 39502-1810

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X904775 (MS)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1801568639

Marly Jill Davis, NP's National Provider Identifier is 1801568639, issued on Sep 30, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Wiggins, MS. The record was last updated on Sep 30, 2021.