Provider Demographics
NPI:1780010637
Name:DAVISON, JUNE VEARA (FNP-BC)
Entity type:Individual
Prefix:MS
First Name:JUNE
Middle Name:VEARA
Last Name:DAVISON
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3147 OLD SYLACAUGA HWY
Mailing Address - Street 2:
Mailing Address - City:SYLACAUGA
Mailing Address - State:AL
Mailing Address - Zip Code:35150-7829
Mailing Address - Country:US
Mailing Address - Phone:256-626-4902
Mailing Address - Fax:
Practice Address - Street 1:3147 OLD SYLACAUGA HWY
Practice Address - Street 2:
Practice Address - City:SYLACAUGA
Practice Address - State:AL
Practice Address - Zip Code:35150-7829
Practice Address - Country:US
Practice Address - Phone:256-626-4902
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-24
Last Update Date:2013-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-119822163W00000X
AL2012008671363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse