Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 27614 | TN |
N | 207RC0000X | Internist - Cardiovascular Disease | 27614 | TN |
NPI | 1942203963 |
---|---|
Provider Name | Stacy Faith Davis |
First Address | Nashville, TN 37228-1317 |
Second Address | Nashville, TN 37201-1646 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2005 |
Last Update Date | 10/10/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1510069 | (05) | TN |
3097373 | (05) | TN |
6012044 | BCBS (01) | TN |
F98168 | (02) | TN |
P01376946 | RR MEDICARE (01) | TN |