Individual provider · Type 1 NPI

Stephanie M. Davis

Nurse Practitioner · Meridian, ID

NPI number 1972051423 Active

Practice location

3525 E Louise Dr Ste 401
Meridian, ID 83642-6303

Fax (208) 322-1695

Mailing address

190 E Bannock St
Boise, ID 83712-6241

Other practice locations

  • 7320 216th St SW Ste 210, Edmonds, WA 98026-8006 · (425) 744-1777

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X4071397 (ID)
Nurse Practitioner 363L00000XAP61515215 (WA)
Acute Care Nurse Practitioner 363LA2100X1682.1682 (WY)

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 1972051423

Stephanie M. Davis's National Provider Identifier is 1972051423, issued on Sep 13, 2016. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Meridian, ID. The record was last updated on Jan 19, 2026.