Most Relevant Information
Provider Data
| NPI Number: | 1003463969 |
| Provider Name: | BROOKE ALYSSA DAVIS FNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 5012191 |
Most Important Dates
| Enumeration Date: | 08/23/2019 |
| Last Updated: | 11/18/2023 |
Provider Practice Location
2711 RANDOLPH RD STE 400
CHARLOTTE
NC
282072027
Practice Location Phone/Fax
| Phone: | 7043421900 |
| Fax: | 7043770353 |
Provider Mailing Location
2711 RANDOLPH RD STE 400
CHARLOTTE
NC
282072027
Provider Mailing Phone/Fax
| Phone: | 7043421900 |
| Fax: | 7043770353 |