Provider Demographics
NPI:1083919427
Name:DAVIS, MEGAN LEIGH (FNP)
Entity Type:Individual
Prefix:MRS
First Name:MEGAN
Middle Name:LEIGH
Last Name:DAVIS
Suffix:
Gender:F
Credentials:FNP
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Mailing Address - Street 1:6286 BRIARCREST AVE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38120-4023
Mailing Address - Country:US
Mailing Address - Phone:901-755-5300
Mailing Address - Fax:901-756-0196
Practice Address - Street 1:6286 BRIARCREST AVE
Practice Address - Street 2:SUITE 300
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38120-4023
Practice Address - Country:US
Practice Address - Phone:901-755-5300
Practice Address - Fax:901-756-0196
Is Sole Proprietor?:No
Enumeration Date:2011-01-17
Last Update Date:2014-06-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TN18768363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner