Provider Demographics
NPI:1124330667
Name:DAVIS, APRIL D (NP)
Entity type:Individual
Prefix:MRS
First Name:APRIL
Middle Name:D
Last Name:DAVIS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8091 GEORGIA AVE
Mailing Address - Street 2:BLDG 3515
Mailing Address - City:FORT POLK
Mailing Address - State:LA
Mailing Address - Zip Code:71459-5468
Mailing Address - Country:US
Mailing Address - Phone:337-531-4861
Mailing Address - Fax:
Practice Address - Street 1:8099 GEORGIA AVE.
Practice Address - Street 2:
Practice Address - City:FT. POLK
Practice Address - State:LA
Practice Address - Zip Code:71459
Practice Address - Country:US
Practice Address - Phone:337-531-4861
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-13
Last Update Date:2022-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAF060516363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA2120701Medicaid