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

Ethan Wayne Davis, RN

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1346054269

Ethan Wayne Davis, RN is a Student in an Organized Health Care Education/Training Program in Johnson City, Tennessee. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

400 N State Of Franklin Rd
Johnson City, TN 37604-6035
Phone: (423) 431-6111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1346054269
Entity typeIndividual (Type 1)
GenderMale
Credentials RN
Sole proprietorNo
NPI enumeratedFebruary 3, 2025
Last updated in NPPESFebruary 3, 2025
Certification dateFebruary 2, 2025
Mailing address17894 Glenwood Dr Unit A, Abingdon, VA 24211-5695

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