| Desiree Townsend Davis, AGPCNP | |
|
620 Farm Life Ave, Vanceboro, NC 28586-7673 | |
| (252) 244-1785 | |
| (252) 244-2876 |
| Full Name | Desiree Townsend Davis |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Adult Health |
| Location | 620 Farm Life Ave, Vanceboro, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215493572 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | 0024177186 (Virginia) | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | 5018680 (North Carolina) | Primary |
| Entity Name | Cep America Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629722129 PECOS PAC ID: 6608056171 Enrollment ID: O20220506001288 |
| Mailing Address | Practice Location Address |
|---|---|
| Desiree Townsend Davis, AGPCNP Po Box 68, Pollocksville, NC 28573-0068 Ph: (252) 635-3906 | Desiree Townsend Davis, AGPCNP 620 Farm Life Ave, Vanceboro, NC 28586-7673 Ph: (252) 244-1785 |
Alix Ackerman, APRN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 620 Farm Life Ave, Vanceboro, NC 28586 Phone: 252-244-1785 Fax: 252-244-2876 | |
Megan Trask, FNP, AGACNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 620 Farm Life Ave, Vanceboro, NC 28586 Phone: 252-276-7200 | |
Baleigh Sawyer Roach, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 260 Nc-43, Vanceboro, NC 28586 Phone: 252-244-4700 | |
Marsha Ann Laird, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 620 Farm Life Ave, Vanceboro, NC 28586 Phone: 252-244-1785 Fax: 252-244-2876 |