Nicole Davis, is a
Case Manager/care Coordinator based in Vidalia, Louisiana. Nicole Davis is licensed to practice in Louisiana (license number 1358510151) and her current practice location is
4012 Carter St, Vidalia, Louisiana. She can be reached at her office (for appointments etc.) via phone at
(601) 597-6058.
NPI number for Nicole Davis is 1538510151 and her current mailing address is 4012 Carter St, Vidalia, Louisiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1538510151.
Healthcare Provider's Profile
Full Name | Nicole Davis |
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Gender | Female |
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Speciality | Case Manager/care Coordinator |
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Location | 4012 Carter St, Vidalia, Louisiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1538510151
- Provider Enumeration Date: 06/24/2016
- Last Update Date: 06/01/2018
Medical Identifiers
Medical identifiers for Nicole Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1538510151 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
171M00000X | Case Manager/care Coordinator | 1358510151 (Louisiana) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicole Davis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Nicole Davis, 4012 Carter St, Vidalia, LA 71373-3013 Ph: (601) 597-6058 | Nicole Davis, 4012 Carter St, Vidalia, LA 71373 Ph: (601) 597-6058 |
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