Brenna Davis
Clinical Nurse Specialist in Sulphur, LA. Individual provider (NPI-1).
NPI number1104719699
StatusActive
Last updated in NPPESJun 2, 2025
Details
- NPI
- 1104719699
- Entity type
- Individual (NPI-1)
- Name
- Brenna Davis
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 2, 2025
- Certification date
- Jun 2, 2025
- Last updated
- Jun 2, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 364S00000X | Clinical Nurse Specialist | 215961 | LA | Yes |
Practice location
701 Cypress StSulphur, LA 70663-5053
Phone 337-527-7034
Mailing address
5280 Biscotti DrSulphur, LA 70665-8752
Phone 337-660-6978
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