Provider Demographics
NPI:1710151113
Name:DAVIS, BETH (ACNP)
Entity type:Individual
Prefix:
First Name:BETH
Middle Name:
Last Name:DAVIS
Suffix:
Gender:
Credentials:ACNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2236 SPARTAN CT
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37128-5395
Mailing Address - Country:US
Mailing Address - Phone:615-579-1553
Mailing Address - Fax:423-565-6002
Practice Address - Street 1:2236 SPARTAN CT
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37128-5395
Practice Address - Country:US
Practice Address - Phone:615-579-1553
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-16
Last Update Date:2025-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN13359363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care