DAVINA L GEORGE NP - NPI 1710417571 - Nurse Practitioner in Bridgeton, MO

Q: What is Davina George's NPI number?

The NPI number for Davina George is 1710417571. It was assigned to this individual provider in the NPPES registry on June 14, 2017.

Q: What is Davina George's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Davina George was last updated on June 14, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Davina L George Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVINA L GEORGE NP (NPI 1710417571) is an individual gerontology provider in Bridgeton, Missouri, licensed in Missouri (2016035063) and active in the NPI registry since June 2017.

NPPES Registry Identity

NPI1710417571

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameDAVINA L GEORGECredential: NP

Location Address12380 DEPAUL DRIVEBridgeton, MO 63044

Mailing Address616 Fm 1960 Rd W Ste 230Houston, TX 77090-3024 · (877) 749-7428 · Fax (512) 628-3314

Sole ProprietorNo

Enumeration DateJune 14, 2017

✔ NPI 1710417571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in MO · 2016035063

12380 DEPAUL DRIVE, Bridgeton, MO 63044

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