Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. DALLAS JORDAN DAVIS PROVENCE, NP
Active Sole ProprietorDermatopathology · MEMPHIS, TN
Registration Details
- NPI Number
- 1619556230
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 2, 2021 (5.0540207979312 yrs)
- Last Updated
- Apr 2, 2021
- License
-
28973 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6254 POPLAR AVEMEMPHIS, TN, 381194713Browse TN providers · Browse ZIP 38119
- Phone
- 9016243333
- Primary Specialty
-
Dermatopathology
207ND0900X
Other Dermatopathology Providers in MEMPHIS, TN
| Name | Credential | NPI |
|---|---|---|
| ARLENE SYLVIA ROSENBERG | MD | 1215916051 |
| MR. REX ALLEN AMONETTE | MD | 1275506404 |
| MRS. FRANCES BEARD | MD | 1770550659 |
| MR. FRANK GLOVER WITHERSPOON JR. | MD | 1558338376 |
| MRS. ROBIN H FRIEDMAN-MUSICANTE | MD | 1700853520 |
| MR. LEE ALLEN | MD | 1235106055 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.