| Yvonne L. Davis, Nurse Practitioner In Psychiatry Pllc | |
|
#1014 1283 Arsenal St #16 Watertown NY 13601 | |
| (315) 427-8540 | |
| Not Available |
| Full Name | Yvonne L. Davis, Nurse Practitioner In Psychiatry Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | #1014, Watertown, New York |
| Authorized Official Name and Position | Yvonne L Davis (NPP) |
| Authorized Official Contact | 3154278540 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Yvonne L. Davis, Nurse Practitioner In Psychiatry Pllc Po Box 44 Depauville NY 13632-0044 Ph: (315) 427-8540 | Yvonne L. Davis, Nurse Practitioner In Psychiatry Pllc #1014 1283 Arsenal St #16 Watertown NY 13601 Ph: (315) 427-8540 |
| NPI Number | 1992466395 |
|---|---|
| Provider Enumeration Date | 01/07/2022 |
| Last Update Date | 01/07/2022 |
| Certification Date | 01/05/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992466395 | NPI | - | NPPES |
| 04851621 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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