Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Crystal Davis, REGISTEREDNURSE

Individual provider Licensed Practical Nurse · NPI 1154738573

Crystal Davis, REGISTEREDNURSE is a Licensed Practical Nurse in Detroit, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2014
Specialties on file
2

Practice location Address checks out

20129 Tracey St
Detroit, MI 48235-1570
Phone: (313) 740-8855
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 4704346742 (MI)
Licensed Practical Nurse Taxonomy 164W00000X · Licence 4703108786 (MI)

Record details

NPI number1154738573
Entity typeIndividual (Type 1)
GenderFemale
Credentials REGISTEREDNURSE
Sole proprietorYes
NPI enumeratedJuly 17, 2014
Last updated in NPPESAugust 25, 2020
Certification dateAugust 25, 2020

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