Provider Demographics
NPI:1912996943
Name:DAVIS, JUNE CLOWNEY (WHNP, RNC)
Entity type:Individual
Prefix:MRS
First Name:JUNE
Middle Name:CLOWNEY
Last Name:DAVIS
Suffix:
Gender:F
Credentials:WHNP, RNC
Other - Prefix:MRS
Other - First Name:JUNE
Other - Middle Name:CLOWNEY
Other - Last Name:DAVIS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RNC, WHNP
Mailing Address - Street 1:920 FROSTWOOD DR
Mailing Address - Street 2:STE 580
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-2314
Mailing Address - Country:US
Mailing Address - Phone:713-464-6211
Mailing Address - Fax:713-827-8562
Practice Address - Street 1:920 FROSTWOOD DR
Practice Address - Street 2:STE 580
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-2314
Practice Address - Country:US
Practice Address - Phone:713-464-6211
Practice Address - Fax:713-827-8562
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAPN640149363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
8N8043OtherBCBS
8N8043OtherBCBS
8D3074Medicare ID - Type Unspecified