| Ms Yvonne Lorelle Davis, NURSE PRACTITIONER I | |
|
482 Black River Pkwy, Watertown, NY 13601-2416 | |
| (315) 782-1777 | |
| (315) 785-8628 |
| Full Name | Ms Yvonne Lorelle Davis |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 482 Black River Pkwy, Watertown, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942730023 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WP0808X | Registered Nurse - Psychiatric/mental Health | 653726-1 (New York) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 402154 (New York) | Primary |
| Entity Name | Essex County Treasurer |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659485480 PECOS PAC ID: 1658392600 Enrollment ID: O20051219000132 |
| Entity Name | North Country Transitional Living Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538294699 PECOS PAC ID: 2466618749 Enrollment ID: O20120801000327 |
| Entity Name | Faspsych Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831682111 PECOS PAC ID: 2860818929 Enrollment ID: O20210107000829 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Yvonne Lorelle Davis, NURSE PRACTITIONER I 482 Black River Pkwy, Watertown, NY 13601-2416 Ph: (315) 782-1777 | Ms Yvonne Lorelle Davis, NURSE PRACTITIONER I 482 Black River Pkwy, Watertown, NY 13601-2416 Ph: (315) 782-1777 |
Michaela Duffy Mccargar, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 19472 Us-11, Suite N 101, Watertown, NY 13601 Phone: 315-786-1924 | |
Mrs. Linda M Moser, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 53 Public Sq, Suite 201, Watertown, NY 13601 Phone: 315-782-4950 Fax: 315-782-3699 | |
Ms. Sue A Carley-graves, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 19320 Us Route 11, Watertown, NY 13601 Phone: 315-786-0254 Fax: 315-786-0976 | |
Desiree Starr Fuller, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1575 Washington St, Watertown, NY 13601 Phone: 315-785-4155 Fax: 315-779-5066 | |
Miss Bonnie L Servage, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 53-59 Public Sq, Ste 301, Watertown, NY 13601 Phone: 315-782-2141 Fax: 315-782-5123 | |
Jennifer Blaze Laclair, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 26561 State Route 3, Watertown, NY 13601 Phone: 315-782-7246 Fax: 315-782-7247 | |
Kimberly Ann Noragong, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 22670 Summit Dr Bldg 6, Watertown, NY 13601 Phone: 157-797-4303 |