Provider Demographics
NPI:1780579821
Name:DAVIS, DAWN PAULA (FNP)
Entity type:Individual
Prefix:
First Name:DAWN
Middle Name:PAULA
Last Name:DAVIS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 522
Mailing Address - Street 2:
Mailing Address - City:OZARK
Mailing Address - State:MO
Mailing Address - Zip Code:65721-0522
Mailing Address - Country:US
Mailing Address - Phone:417-299-8716
Mailing Address - Fax:417-299-8716
Practice Address - Street 1:1065 STATE HIGHWAY 248 STE 100
Practice Address - Street 2:
Practice Address - City:BRANSON
Practice Address - State:MO
Practice Address - Zip Code:65616-8064
Practice Address - Country:US
Practice Address - Phone:417-332-3639
Practice Address - Fax:417-332-3641
Is Sole Proprietor?:No
Enumeration Date:2025-06-10
Last Update Date:2025-06-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2025021363207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine