Renette L Davis (NPI# 1962423368, PAC ID# 5799739777) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1962423368 |
| PAC ID by PECOS | 5799739777 |
| Professional Enrollment ID | I20050311000803 |
| Full Name | Renette L Davis |
| Organization Legal Name | SOUTHEASTERN PHYSICIAN SERVICES PC |
| Address |
2511 Wesley St Johnson City TN 37601-1723 |
| Phone Number | 4239521700 |
| Gender | F |
| Credential | NP |
| Graduation Year | 1995 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0042307852 |
| Number of Group Practice Members | 257 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1 Medical Park Blvd, Bristol, TN 37620-7430 | 4238445900 | SOUTHEASTERN PHYSICIAN SERVICES PC |
| 103 N St, Bristol, VA 24201-3201 | 2762467240 | SOUTHEASTERN PHYSICIAN SERVICES PC |
| 2511 Wesley St, Johnson City, TN 37601-1723 | 4239521700 | SOUTHEASTERN PHYSICIAN SERVICES PC |
| Organization Legal Name | SOUTHEASTERN PHYSICIAN SERVICES PC |
| Physicians | 263 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Faisal A Soliman | Internal Medicine | Southeastern Physician Services PC | 1995 Hwy 51 S, Covington, TN 38019-3635 |
| Tia Camille Joyce | Nurse Practitioner | Southeastern Physician Services PC | 157 Ross Carter Blvd, Duffield, VA 24244-5116 |
| Patrick C Finney | Internal Medicine | Southeastern Physician Services PC | 2501 Kentucky Ave, Paducah, KY 42003-3813 |
| Carol Ann Berger | Nurse Practitioner | Southeastern Physician Services PC | 300 1st Capitol Dr, Saint Charles, MO 63301-2844 |
| William T Rawlinson | Internal Medicine | Southeastern Physician Services PC | 2305 Chambliss Ave Nw, Cleveland, TN 37311-3847 |
| Mark D Nowell | Emergency Medicine | Southeastern Physician Services PC | 723 Burkesville Rd, Albany, KY 42602-1654 |
| Lavada Smith | Nurse Practitioner | Southeastern Physician Services PC | 894 Leland Ave, Saint Louis, MO 63130-3239 |
| Kevin L Flowers | Family Medicine | Southeastern Physician Services PC | 1100 Brookhaven Rd, Franklin, KY 42134-2746 |
| Peter J Anderson | Internal Medicine | Southeastern Physician Services PC | 989 Medical Park Dr, Maysville, KY 41056-8750 |
| Hunter Stidham | Physician Assistant | Southeastern Physician Services PC | 310 S Limestone, Lexington, KY 40508-3008 |
| Street Address |
2511 WESLEY ST |
| City | JOHNSON CITY |
| State | TN |
| Zip | 37601-1723 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elaine L Devos | Physical Medicine and Rehabilitation | 2511 Wesley St, Johnson City, TN 37601-1723 | |
| Joseph K Neumann | Psychologist, Clinical | Robert E Roth Psyd | 2511 Wesley St, Johnson City, TN 37601-1723 |
| Amy S Clark | Nurse Practitioner | Ipc Pac Healthcare Services of Tennessee PC | 2511 Wesley St, Johnson City, TN 37601-1723 |
| Robert E Roth | Psychologist, Clinical | Robert E Roth Psyd | 2511 Wesley St, Johnson City, TN 37601-1723 |
| Michael L Spady | Physical Medicine and Rehabilitation | 2511 Wesley St, Johnson City, TN 37602-1723 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew Schwichtenberg | Optometry | 2829 E Oakland Av, Suite 1, Johnson City, TN 37601 | |
| Robert W Lawson | Emergency Medicine | 4100 N Roan St, Suite 3, Johnson City, TN 37601-1103 | |
| Kimberly A Costello | Physical Therapy | Blue Ridge Physical Therapy, Inc. | 3915 Bristol Hwy, Suite 301, Johnson City, TN 37601-1403 |
| Lisa L Fahn | Physical Therapy | Blue Ridge Physical Therapy, Inc. | 3915 Bristol Hwy, Suite 301, Johnson City, TN 37601-1403 |
| Heather Beaudry | Psychologist, Clinical | 3119 Bristol Hwy, Suite 304, Johnson City, TN 37601-1556 | |
| Philip A Hillman | Chiropractic | 3119 Bristol Hwy, Suite 110, Johnson City, TN 37601-1563 | |
| Gamal Sami Boutros | Neurology | 329 Wesley St, Suite 1, Johnson City, TN 37601-1726 | |
| Susan D Rollins | Pathology | Outpatient Cytopathology Center | 2400 Susannah St, Suite A, Johnson City, TN 37601-1730 |
| Yasmin M Elshenawy | Pathology | Outpatient Cytopathology Center | 2400 Susannah St, Suite A, Johnson City, TN 37601-1730 |
| Janet F Stastny | Pathology | Outpatient Cytopathology Center | 2400 Susannah St, Suite A, Johnson City, TN 37601-1730 |
| Find all physicians in zip 37601 | |||
| City | JOHNSON CITY |
| Zip Code | 37601 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | JOHNSON CITY + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Renette L Davis.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.