DEBORAH A DAVIDSON

FOUR COUNTY COMPREHENSIVE MENTAL HEALTH CENTER INC

Dr DEBORAH A DAVIDSON is a female medical professional, specializing in Nurse Practitioner. She graduated in 2014.

Contact

FOUR COUNTY COMPREHENSIVE MENTAL HEALTH CENTER INC

405 FAIRGROUNDS RD
TIPTON
IN
460729596

Tel: 7654080536

DEBORAH A DAVIDSON Information

Npi 1063813178
Pac Id 8426270935
Professional Enrollment Id I20170814000942
Last Name DAVIDSON
First Name DEBORAH
Middle Name A
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2014
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name FOUR COUNTY COMPREHENSIVE MENTAL HEALTH CENTER INC
Group Practice Pac Id 2163334277
Number Of Group Practice Members 18
Line 1 Street Address 405 FAIRGROUNDS RD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City TIPTON
State IN
Zip Code 460729596
Phone Number 7654080536
Hospital Affiliation Ccn 1 151318
Hospital Affiliation Lbn 1 DUKES MEMORIAL HOSPITAL
Hospital Affiliation Ccn 2 150007
Hospital Affiliation Lbn 2 COMMUNITY HOWARD REGIONAL HEALTH INC.
Hospital Affiliation Ccn 3 150010
Hospital Affiliation Lbn 3 ST. JOSEPH HOSPITAL & HEALTH CENTER, INC
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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