Provider Demographics
NPI:1477230811
Name:DAVIS, ALLISON ROSE (PA-C)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:ROSE
Last Name:DAVIS
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 LAMPLIGHTER DR
Mailing Address - Street 2:
Mailing Address - City:SHREWSBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01545-5457
Mailing Address - Country:US
Mailing Address - Phone:978-602-4326
Mailing Address - Fax:
Practice Address - Street 1:44 LAMPLIGHTER DR
Practice Address - Street 2:
Practice Address - City:SHREWSBURY
Practice Address - State:MA
Practice Address - Zip Code:01545-5457
Practice Address - Country:US
Practice Address - Phone:978-602-4326
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-28
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical