Provider Demographics
NPI:1508141854
Name:DAVIS, FELICIA LEUNG (PMHNP-BC, FNP-BC)
Entity Type:Individual
Prefix:
First Name:FELICIA
Middle Name:LEUNG
Last Name:DAVIS
Suffix:
Gender:F
Credentials:PMHNP-BC, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9820 NORTHCROSS CENTER CT STE 50
Mailing Address - Street 2:
Mailing Address - City:HUNTERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28078-7357
Mailing Address - Country:US
Mailing Address - Phone:980-585-2019
Mailing Address - Fax:980-585-2016
Practice Address - Street 1:9820 NORTHCROSS CENTER CT STE 50
Practice Address - Street 2:
Practice Address - City:HUNTERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28078-7357
Practice Address - Country:US
Practice Address - Phone:980-585-2019
Practice Address - Fax:980-585-2016
Is Sole Proprietor?:No
Enumeration Date:2011-10-19
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC18618363LP0808X, 363L00000X
GAGAA-NP000546363LP0808X
NC5005365363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily