Leslie J Davis, NP is a
Nurse Practitioner based in Walkertown, North Carolina. Leslie J Davis is licensed to practice in North Carolina (license number 139414) and her current practice location is
3431 Walkertown Commons Dr, Walkertown, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(336) 564-4101.
NPI number for Leslie J Davis is 1104041755 and her current mailing address is Po Box 60447, Charlotte, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1104041755.
Provider's Profile
| Full Name | Leslie J Davis |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner |
|---|
| Location | 3431 Walkertown Commons Dr, Walkertown, North Carolina |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1104041755
- Provider Enumeration Date: 04/16/2007
- Last Update Date: 12/23/2021
Medical Identifiers
Medical identifiers for Leslie J Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1104041755 | NPI | - | NPPES |
| 7004567 | Medicaid | NC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363L00000X | Nurse Practitioner | 5004872 (North Carolina) | Secondary |
| 363L00000X | Nurse Practitioner | 12521 (Tennessee) | Secondary |
| 363L00000X | Nurse Practitioner | 139414 (North Carolina) | 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. Leslie J 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 |
Leslie J Davis, NP Po Box 60447, Charlotte, NC 28260-0447 Ph: Not Available | Leslie J Davis, NP 3431 Walkertown Commons Dr, Walkertown, NC 27051-9152 Ph: (336) 564-4101 |
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