Individual ProviderAmanda Marie DavisNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address543 Fontaine St, Pensacola, FL 32503-2058(850) 474-0155PECOS EnrollmentBased on the most recent information from CMS, provider Amanda Marie Davis does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:57 AM.Profile DetailsProvider ID1194997833Provider TypeIndividualFull NameDavis, Amanda MarieTitleMrs.CredentialA.R.N.P.GenderFemaleSole ProprietorNoEnumeration Date4/1/2008Last Updated9/20/2023Contact InformationPractice LocationPractice Address543 Fontaine St, Pensacola, FL 32503-2058Phone(850) 474-0155FaxUnlisted FaxMailing LocationMailing Address543 Fontaine St, Pensacola, FL 32503-2058Phone(850) 474-0155FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseARNP9245892Florida