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Devon Kyle Davis, FNP-C

Nurse Practitioner, Family in Jefferson City, MO. Individual provider (NPI-1).

NPI number1689439986
StatusActive
Last updated in NPPESJul 10, 2025

Details

NPI
1689439986
Entity type
Individual (NPI-1)
Name
Mr. Devon Kyle Davis
Credential
FNP-C
Sex
Male
Sole proprietor
No
Enumeration date
Feb 15, 2024
Certification date
Jul 10, 2025
Last updated
Jul 10, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family2024005958MOYes

Practice location

1125 Madison St
Jefferson City, MO 65101-5227

Phone 573-632-4860 · Fax 573-632-4998

Mailing address

Po Box 843966
Kansas City, MO 64184-3966

Phone 573-884-3300 · Fax 573-884-0943

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