Most Relevant Information
Provider Data
| NPI Number: | 1003321928 |
| Provider Name: | NYKISHIA NICOLE DAVIS AGACNP-BC |
| Entity Type: | Individual |
| Taxonomy Code: | 363LA2100X |
| Specialty: | Nurse Practitioner |
| License Number: | SP018345 |
Most Important Dates
| Enumeration Date: | 12/14/2017 |
| Last Updated: | 12/18/2020 |
Provider Practice Location
7725 RUGBY ST
PHILA
PA
191502507
Practice Location Phone/Fax
| Phone: | 2679732379 |
| Fax: |
Provider Mailing Location
51. N 39TH ST
MUTCH BUILDING 6TH FL M040
PHILADELPHIA
PA
19104
Provider Mailing Phone/Fax
| Phone: | 1526629798 |
| Fax: |