Provider Demographics
NPI:1558692848
Name:DAVIDSON, STEPHANIE RAY (ACNP)
Entity Type:Individual
Prefix:MRS
First Name:STEPHANIE
Middle Name:RAY
Last Name:DAVIDSON
Suffix:
Gender:F
Credentials:ACNP
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Mailing Address - Street 1:VUMC ALLERGY PULMONARY CRITICAL
Mailing Address - Street 2:1161 21ST AVE S, ROOM T-1218 MCN
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37232-0001
Mailing Address - Country:US
Mailing Address - Phone:615-322-0938
Mailing Address - Fax:615-343-6498
Practice Address - Street 1:VUMC ALLERGY PULMONARY CRITICAL
Practice Address - Street 2:1161 21ST AVE S, ROOM T-1218 MCN
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37232-0001
Practice Address - Country:US
Practice Address - Phone:615-322-0938
Practice Address - Fax:615-343-6498
Is Sole Proprietor?:No
Enumeration Date:2010-01-26
Last Update Date:2012-06-01
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Provider Licenses
StateLicense IDTaxonomies
TNAPN0000014681363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care